马里维和任务区2014-2017年上呼吸道感染的流行病学和临床特征分析

唐静; 傅强; 崔云亮

doi:10.16462/j.cnki.zhjbkz.2019.03.025

马里维和任务区2014-2017年上呼吸道感染的流行病学和临床特征分析

doi: 10.16462/j.cnki.zhjbkz.2019.03.025

唐静¹,
傅强²,
崔云亮^1, ,

1.
250031 济南, 解放军联勤保障部队第960医院重症医学科
2.
250031 济南, 解放军联勤保障部队第960医院卫勤保障处

基金项目:

国家自然科学基金资助项目 81173402

详细信息

通讯作者:
崔云亮, E-mail: 13505315290@139.com

中图分类号: R181.22
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- 被引次数: 0
出版历程
- 收稿日期: 2018-04-16
- 修回日期: 2018-08-26
- 刊出日期: 2019-03-10

Epidemiological and clinical characteristics of acute upper respiratory infection of patients in peace-keeping operations area in Mali from 2014 to 2017

1.
Department of Critical Care Medicine, Intensive Care Unit, The General Hospital of Jinan Military Command Area, The 960th Hospital of the PLA Joint Logistice Support Force, Jinan 250031, China
2.
Plan department, Health Protection Office, The General Hospital of Jinan Military Command Area, The 960th Hospital of the PLA Joint Logistice Support Force, Jinan 250031, China

摘要

摘要: 目的分析马里维和任务区上呼吸道感染的流行病学和临床特征，为任务区上呼吸道感染的防控提供依据。方法回顾性分析2014年1月~2017年12月确诊为上呼吸道感染的病历，记录患者临床资料，利用描述性流行病学方法对收集的资料统计分析。结果共484名患者符合纳入标准，从时间分布看，上呼吸道感染患者多集中在5、8、9、12月份。发热组白细胞计数（white blood cell count，WBC）较体温正常组增高（t=3.41，P=0.008），中性粒细胞计数（neutrophilicgranulocyte，Gran）也较体温正常组增高（t=3.92，P<0.001），而淋巴细胞计数（lymphocyte count，Lymph）值低于体温正常组（t=2.23，P=0.027）。HGB、PLT、ALT、AST、TBIL值之间对比均不具有统计学意义（均有P>0.05）。发热组电解质K、Ca、Na、Cl值均低于体温正常组（均有P<0.05）。结论从时间分布上看，维和部队轮换交接、季节变换、昼夜温差大等情况下应提前做好防护，减少上呼吸道感染的发病人数，尽量避免维和官兵非战斗减员。从上呼吸道感染的临床特征分析，单纯发热不是应用抗生素的指证，必须结合患者的症状、体征和化验检查。同时，发热患者容易出现电解质紊乱，需引起医务人员的高度重视。
- 上呼吸道感染 /
- 流行病学 /
- 马里 /
- 维和任务区
Abstract: Objective To analyze the epidemiological and clinical characteristics of acute upper respiratory infection of patients in peace-keeping operations area in Mali, so as to provide experiences for prevention and control of acute upper respiratory infection. Methods A retrospective analysis was made on the case history of upper respiratory tract infection from January 2014 to December 2017. The clinical data of the patients were recorded and the collected data were analyzed by descriptive epidemiological method. Results A total of 484 patients met the inclusion criteria. According to the time distribution, most patients with upper respiratory tract infections were concentrated in May, August, September and December. WBC in fever group were higher than those in normal temperature group (t=3.41, P=0.008), Gran in fever group were higher than those in normal temperature group (t=3.92, P<0.001).while Lymph was lower than that in normal temperature group (t=2.23, P=0.027). There was no significant difference in HGB, PLT, ALT, AST and TBIL values (all P>0.05). The electrolyte K, Ca, Na and Cl values in fever group were lower than those in normal temperature group (all P<0.05). Conclusions In terms of time distribution, under the circumstances of rotation and handover of peacekeeping forces, seasonal change, large temperature difference between day and night, etc, the peacekeeping forces should take precautions to reduce the incidence of upper respiratory tract infections and avoid non-combat attrition of peacekeepers. From the analysis of clinical characteristics of upper respiratory tract infection, fever alone is not an indication of antibiotic use, but must be combined with symptoms, signs and laboratory examinations of patients. At the same time, patients with fever are prone to electrolyte disorders, which should be paid great attention by medical staff.
- Acute upper respiratory infection /
- Epidemiological /
- Mali /
- Peace-keeping operations area

HTML全文

图 1 2014-2017年每月马里任务区上呼吸道感染占比

Figure 1. Percentage of upper respiratory tract infections per month in Mali mission area from 2014 to 2017

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图 2 2014-2017年马里任务区发热组与体温正常组血常规、肝功能检查结果分析

Figure 2. Analysis of blood routine and liver function test results between fever group and normal temperature group in Mali mission area from 2014 to 2017

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图 3 2014-2017年马里任务区发热组与体温正常组电解质检查结果分析

Figure 3. Analysis of electrolyte test results of fever group and normal temperature group in Mali mission area from 2014 to 2017

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