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目的 分析近五年百日咳患儿的临床特点。方法总结分析1998年1月-2003年1月间我院51例住院百日咳患儿临床资料,从发病季节、发病区域、年龄分布、是否进行免疫接种、主要临床表现及并发症、疗程、预后等方面进行分析。结果51例百日咳患儿在发病区域、年龄分布、免疫接种等方面有着显著性差异(P<0.05)。疗程与预后方面无显著性差异(P>0.05)。发现1岁以下婴儿发病占总病例数的76.47%,发病以1岁以下婴儿为主(P<0.01),其中3月龄以内小婴儿占总病例数的35.29%。农村患儿发病高于城市患儿(P<0.01)。结论百日咳住院患儿以农村患儿及无免疫接种史或不全接种史者为主,3月龄以内小婴儿发病率有上升趋势。
Objective To analyze the clinical features of children with pertussis in recent five years. Methods The clinical data of 51 inpatients with pertussis admitted to our hospital from January 1998 to January 2003 were analyzed from the onset season, incidence region, age distribution, whether immunization, main clinical manifestations and complications, course of treatment, prognosis Analysis. Results 51 cases of children with pertussis have significant differences in the incidence area, age distribution, immunization and so on (P <0.05). No significant difference in treatment and prognosis (P> 0.05). Found that the incidence of infants under the age of 1 accounted for 76.47% of the total number of cases, the incidence of infants under 1 year old (P <0.01), of which 3 months old baby accounted for 35.29% of the total number of cases. The incidence of rural children was higher than that of urban children (P <0.01). Conclusions The prevalence of pertussis inpatients is mainly in rural children with no history of vaccination or incomplete vaccination. The incidence of infants in 3 months old is on the rise.