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目的通过对北京地坛医院收治的552例甲型H1N1流感筛查病例进行统计分析,探讨现阶段甲型H1N1流感临床应答模式的现状、取得的成绩及所遭遇的挑战。方法对来自于机场和发热门诊筛查的病例进行分组,比较两组病例一般情况、临床特点、住院时间、住院费用等资料进行详细统计分析。结果473例(85.7%)直接来自于机场甲型H1N1流感筛查病例,其中9例确诊为甲型H1N1流感病例(1.9%);79例(14.3%)来自全市各医院发热门诊发现的甲型H1N1流感筛查病例,其中确诊5例(6.3%),两组入院平均体温、体温恢复正常时间、具有流感样症状病例数、确诊病例数比较,差异均有统计学意义。确诊甲型H1N1流感病例平均住院时间为7.5(5.4~10.7)d,人均住院费用为1 252.3元;排除甲型H1N1流感病例平均住院时间为1.6(0.8~3.5)d,人均住院费用为548.6元。患者平均生活费为80元/d,医护人员每天使用一次性个人防护用品费用平均为185元/例患者,有大量相关人员参与了甲型H1N1流感筛查、隔离、转运、诊疗等工作。结论突发和重大传染病临床应答模式的建立还在不断探讨中,一套成熟且实用的临床应答模式的建立尚需不断实践和检验,在实践中及时调整方案,并为以后突发和重大传染病的防控提供依据,积累经验。
Objective To investigate the clinical status of H1N1 Influenza A (H1N1) at present and the achievements and challenges it encountered in 552 cases of Influenza A (H1N1) screening in Beijing Ditan Hospital. Methods The cases from the airport and outpatient fever clinic were grouped. The general situation, clinical features, hospitalization time and hospitalization cost of the two groups were compared for detailed statistical analysis. Results A total of 473 cases (85.7%) were directly from the airport for screening for Influenza A (H1N1), of which 9 cases were confirmed as Influenza A (H1N1) (1.9%) and 79 (14.3%) were from Type A H1N1 influenza screening cases, of which 5 were diagnosed (6.3%), two groups of admission average body temperature, body temperature returned to normal time, with flu-like symptoms of the number of cases, the number of confirmed cases, the differences were statistically significant. The average length of hospital stay of confirmed cases of Influenza A (H1N1) was 7.5 (5.4-10.7) d, and the average hospitalization cost per capita was 1 252.3 Yuan. The average length of hospital stay excluding cases of Influenza A (H1N1) was 1.6 (0.8-3.5) days, and the per capita hospitalization cost was 548.6 Yuan . The average cost of living for patients was 80 yuan / d. The average cost of disposable personal protective equipment for medical staff was 185 yuan per patient per day. A large number of related personnel participated in the screening, isolation, transportation and treatment of Influenza A (H1N1). Conclusions The establishment of the clinical response mode of emergent and major infectious diseases is still under discussion. The establishment of a set of mature and practical clinical response modes needs to be constantly practiced and tested, and the programs should be adjusted in time in practice, Prevention and control of infectious diseases provide the basis for the accumulation of experience.