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1. 沈阳市第六人民医院
2. 辽宁中医药大学
纸质出版日期:2020,
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[1]王凯,王妍,李丹,郭薇,戴青荃,王琦,刘洪艳.1039例布鲁氏菌病流行病学调查及患者临床特征分析[J].保健医学研究与实践,2020,17(04):5-9.
Wang Kai, Wang Yan, Li Dan, et al. Epidemiological investigation of 1 039 cases of brucellosis and analysis of clinical characteristics of patients[J]. Health Medicine Research and Practice, 2020,17(4):5-9.
目的分析沈阳市某医院布鲁氏菌病患者的流行病学特点和临床特征
为该病的早期临床诊治、减缓疾病慢性化进程提供理论依据。方法采用回顾性研究方法
选取2014年1月-2016年9月在沈阳市某医院诊断为布鲁氏菌病的住院患者1 039例作为研究对象
收集研究对象的临床资料
并对其进行总结分析。结果研究对象中可能传染途径为养殖接触的604例
屠宰接触的52例
乳业相关工作接触的154例
防疫接触的27例
其他接触的155例。而研究对象无明确接触动物的47例
接触动物仅为牛的205例
接触动物仅为羊的708例
接触动物为牛和羊的68例
接触动物为其他动物的11例。研究对象以发热(77.9%)、乏力(67.9%)、多汗(49.0%)、关节痛(46.9%)为主要症状
不同病期研究对象出现发热、关节痛、腰痛、行走障碍、肝脏肿大等的人数比例差异具有统计学意义(P<0.05)。急性期患者以发热症状为主
并发症发生率较低;亚急性期、慢性期患者以腰痛症状为主
且并发症发生率高。此外
不同病期研究对象的住院时间差异具有统计学意义(P<0.05)
其中急性期患者住院时间短于亚急性期及慢性期患者(均P<0.05)。结论布鲁氏菌病临床表现多样
发热为急性期主要表现
腰痛为亚急性期、慢性期特征性表现。亚急性期、慢性期并发症发生率较高
其中以脊椎炎最常见。早期识别布鲁氏菌病相关症状及进行流行病学调查
可促进疾病的早诊断、早治疗
减缓疾病慢性化进程。
Objective To analyze the epidemiological and clinical characteristics of patients with brucellosis in a hospital in Shenyang
and to provide a theoretical basis for the early clinical diagnosis and treatment of the disease and slow the process of it entering the chronic stage. Methods A retrospective study method was used to select 1 039 inpatients diagnosed with brucellosis in a hospital in Shenyang from January 2014 to September 2016 as the research subjects. The clinical data of the subjects were collected
summarized and analyzed. Results Possible transmission routes for the research subjects include breeding contact(604 cases)
slaughter contact(52 cases)
contact in dairy-related work(154 cases)
contact in epidemic prevention(27 cases)
and other contacts(155 cases). Among the research subjects
there were 47 cases with no explicit contact with animals
205 with contact with cattle only
708 cases with sheep only
68 cases with cattle and sheep
and 11 with other animals. The main symptoms of the research subjects were fever(77.9%)
fatigue(67.9%)
hyperhidrosis(49.0%)
and arthralgia(46.9%). The difference between patients in different clinical stages in terms of the proportion of cases developing fever
arthralgia
low back pain
walking disorders
and liver swelling is statistically significant(P<0.05). Patients in the acute stage mainly have the symptom of fever
and the incidence of complications is low; patients in the sub-acute and chronic stages mainly have low back pain
and the incidence of complications is high. In addition
the difference in hospital stay of research subjects in different clinical stages was statistically significant(P<0.05)
as the hospital stay of patients in the acute stage was shorter than those in the sub-acute and chronic stages(both P<0.05). Conclusion Brucellosis has various clinical manifestations. Fever is the main symptom in the acute stage
and low back pain is the characteristic symptom in the sub-acute and chronic stages. The incidence of complications in the sub-acute and chronic phases is high
and spondylitis is the most common one. Early identification of brucellosis-related symptoms and epidemiological investigations can promote early diagnosis and treatment of the disease and slow down the process of it entering the chronic stage.
布鲁氏菌病临床分期临床特点流行病学
BrucellosisClinical stageClinical characteristicsepidemiology
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