北京交通大学社区卫生服务中心
Published:2019,
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Liu Bo, Lu Yuntao, Kong Lingwei. Monitoring results and clinical analysis of 510 influenza-like cases in a university in Beijing. [J]. Health Medicine Research and Practice 16(5):22-24(2019)
目的了解北京市某高校流感的流行现状
为高校防控流感提供科学依据。方法本研究选取2017年12月-2018年2月于北京市某高校医院发热门诊就诊的510例流感样病例为研究对象。将流感病毒抗原检测阴性者纳入阴性病例组
流感病毒抗原检测阳性者纳入阳性病例组。根据患者感染的病毒类型将阳性病例组分为甲型流感组和乙型流感组。分析所有患者的基本情况
并比较阴、阳性病例组患者的临床症状和实验室检测结果
以及甲、乙型流感组患者临床症状。结果 510例患者中
男性312例
女性198例。流感病毒抗原检测阳性者186例(36.5%)
流感病毒抗原检测阴性者324例(63.5%)。186例流感患者中
乙型流感病毒感染者148例(79.6%)
甲型流感病毒感染者38例(20.4%);本科生107例(57.5%)
研究生79例(42.5%)。阳性病例组患者咳嗽、咽痛、全身酸痛、卡他症状及消化道症状发生率分别为87.1%
95.2%
76.9%
71.0%及49.5%
高于阴性病例组的33.3%
17.6%
42.6%
16.4%及7.4%
差异均有统计学意义(P
<
0.05)。甲型流感组患者咳嗽发生率为94.7%
高于乙型流感组的79.1%
差异有统计学意义(P
<
0.05)。甲型流感组患者全身酸痛、卡他症状发生率分别为50.0%
60.5%
均低于乙型流感组的78.4%
81.1%
差异均有统计学意义(P
<
0.05)。阳性病例组患者白细胞计数为(5.61±1.14)×10
9
/L
低于阴性病例组的(7.86±2.14)×10
9
/L
差异有统计学意义(P
<
0.05)。结论高校医务人员需加强对流感样病例的重视
做到对流感的早发现、早隔离、早治疗
以降低流感的发生率
切实保障师生健康。
Objective To understand the current situation of influenza in a college in Beijing and provide a scientific basis for prevention and control of influenza in colleges or universities.Methods A total of 510 cases of fever clinic visits from a university hospital in Beijing from December 2017 to February 2018 were collected.The cases were divided into the positive group and the negative group in accordance with the results of influenza virus antigen detection.The positive group were further classified into influenza A group and influenza B group according to the type of the patient′s virus.The basic conditions of all patients were analyzed
and the clinical symptoms and laboratory test results of the patients in the negative and positive cases were compared
as well as the clinical symptoms of the patients in the influenza A and B groups.Results Of the 510 patients
312 were males and 198 were females.There were 186 cases(36.5%)with positive influenza virus antigen detection and 324 cases(63.5%)with negative virus antigen detection.Of the 186 influenza patients
148(79.6%)were infected with influenza B virus
38(20.4%)were infected with influenza A virus
107(57.5%)were undergraduates
and79(42.5%)were graduate students.The incidence of cough
sore throat
body aches
catarrh and gastrointestinal symptoms in the positive group were 87.1%
95.2%
76.9%
71.0%and 49.5%
respectively
which were higher than those in the negative group(33.3%
17.6%
42.6%
16.4% and 7.4%
respectively)
and the difference was statistically significant(P
<
0.05).The incidence of cough in the influenza A group were 94.7%
which was significantly higher than 79.1% in the influenza B group(P
<
0.05).The incidence of body aches and catarrhal symptoms in the influenza A group were 50.0% and 60.5%
respectively
which were significantly lower than 78.4%and 81.1%in the influenza B group(P
<
0.05).The white blood cell count of patients in the positive case group was(5.61±1.14)×10
9
/L
which was lower than that in the negative case group(7.86±2.14)×10
9
/L
and the difference was statistically significant(P
<
0.05).Conclusion Medical staff in colleges or universities need to pay more attention to influenza-like cases
so that early detection
early isolation and early treatment of influenza can be done to reduce the incidence of influenza and ensure the health of teachers and students.
北京市某高校流行性感冒流感样病例乙型流感病毒
A university in BeijingInfluenzaInfluenza-like casesInfluenza B virus
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