[1]茹维平△,王彦霞,康锴,等.危重型手足口病临床症状及预警因素分析[J].郑州大学学报(医学版),2011,(04):608.
 RU Weiping,WANG Yanxia,KANG Kai,et al.Analysis on risk factors for critical hand,foot and mouth disease[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2011,(04):608.
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危重型手足口病临床症状及预警因素分析
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2011年04期
页码:
608
栏目:
论著
出版日期:
2011-07-15

文章信息/Info

Title:
Analysis on risk factors for critical hand,foot and mouth disease
作者:
茹维平王彦霞康锴王海峰尤爱国
河南省疾病预防控制中心传染病预防控制所 郑州 450016
Author(s):
RU WeipingWANG Yanxia KANG KaiWANG HaifengYOU Aiguo
Institute of Infectious Disease Prevention and Control,Center for Disease Control and Prevention of Henan Province,Zhengzhou 450016
关键词:
手足口病危重型预警征兆
Keywords:
hand foot and mouth diseasecritical typerisk factor
分类号:
R725.1
摘要:
目的:早期识别和判断重型病例向危重型转化的预警征兆,为危重型手足口病临床诊断提供参考。方法:以2009年1~12月在郑州市某儿童医院住院治疗的455例患儿为研究对象,依据《手足口病诊疗指南》将其分为重型组(366例)和危重型组(89例),对患儿的基本情况、临床症状和体征进行调查和分析。应用logistic回归筛选相关的危重型手足口病预警征兆。结果:重型和危重型组的性别和年龄比较差异均无统计学意义(χ2=0.268和7.639,P均>0.05);重型病转化为危重型病有11个预警征兆,即布氏症、肢体瘫痪、肺部痰鸣音、腱反射减弱或消失、瞳孔对光反射消失、四肢发凉、嗜睡、精神差、呼吸节律改变、心率加快、手足抖动。结论:11种临床表现可作为重型病转化为危重型病的预警征兆。
Abstract:
Aim: To explore the risk factors from severe type to critical type of hand, foot and mouth disease(HFMD),and provide the reference for the clinical diagnosis of HFMD.Methods:A total of 455 sick children with HFMD treated in some Zhengzhou children hospital from January to December in 2009,were recruited and diagnosed severe illness(n=366) and the critical illness(n=89) groups according to their status.The information on clinical manifestations between the two groups was summarized and analyzed.Results:There were no differences in the age and the gender structure between the two groups (χ2=0.268 and 7.639,P>0.05).Multiple logistic regression analysis showed that only 11 risk factors were statistically significantly associated with the changing from severe illness to critical illness groups.Conclusion:A total of 11 clinical risk factors are identified to help predict the children at risk of critical HFMD.

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备注/Memo

备注/Memo:
△女,1957年10月生,本科,副主任医师,研究方向:传染病控制,Email:ruwp@hncdc.com.cn
更新日期/Last Update: 1900-01-01