论文部分内容阅读
目的:研究北京市发热门诊呼吸道症状监测情况,探讨发热门诊对呼吸道传染病暴发和流行的预警作用。方法:采用典型调查的流行病学研究方法,收集来自北京市海淀区和朝阳区两所三级综合性医院发热门诊在2009年4月1日至2010年3月31日就诊的患者病历数据,并对其进行流行病学特征和统计分析。结果:急性发热呼吸道感染病例和流行性感冒(流感)样病例与发热门诊的就诊患者的时间趋势一致,实验室确诊流感的时间趋势却有一定的滞后性;发热门诊每日就诊人数与急性发热呼吸道感染病例每日就诊人数、流感样病例每日就诊人数和实验室确诊的流感每日就诊人数呈高度正相关(r=0.99、0.99和0.48,P均<0.001)。结论:发热门诊的症状监测对呼吸道传染病预警具有一定价值,发热门诊为呼吸道传染病早发现、早诊断和早治疗提供了重要平台。
Objective: To study the monitoring of respiratory symptoms in fever clinics in Beijing, and to probe into the early warning effect of outbreak clinics on the outbreak and epidemic of respiratory infectious diseases. Methods: A typical survey of epidemiological methods was used to collect the medical records of patients from fever clinics in two third-level general hospitals in Haidian District and Chaoyang District from April 1, 2009 to March 31, 2010, And its epidemiological characteristics and statistical analysis. Results: The trend of the patients with acute Fever respiratory infection and Influenza (influenza) was the same as that of fever patients, and the time trend of laboratory confirmed flu was lagging behind. The daily number of fever clinics and acute fever The number of daily visits for respiratory infections, the number of daily flu-related cases and the daily number of laboratory-confirmed flu visits were significantly positive (r = 0.99, 0.99 and 0.48; P <0.001 for all). Conclusion: The symptom monitoring of fever clinics has some value for early warning of respiratory infectious diseases. Fever clinics provide an important platform for the early detection, early diagnosis and early treatment of respiratory infectious diseases.