摘要
目的了解玉溪市伤寒、副伤寒报告病例的诊断与治疗现况,为伤寒、副伤寒诊断和治疗提供参考。方法对玉溪市2012—2014年报告的伤寒、副伤寒病例的诊断与治疗进行回顾性调查分析。结果本次收集病例510例,临床病例中伤寒与副伤寒的构成为6∶1,确诊病例中伤寒与副伤寒的构成为1∶15;确诊病例的相应临床症状和体征所占比例较临床病例高(P<0.05),较接近诊断标准。伤寒、副伤寒确诊病例的嗜酸性粒细胞降低或消失,且比例高于临床病例(P<0.05);确诊病例的培养率为100.00%,临床病例的培养率为44.92%;24.12%调查病例的疗程小于10天,临床病例的疗程较确诊病例短,有50.80%临床病例疗程小于10天;按出院标准进行便培养的仅占7.25%。结论玉溪市伤寒、副伤寒临床病例的临床症状、体征、检验结果和治疗与确诊病例有差异,部分病例的诊断和治疗未按诊断标准和防治手册执行,尤其是临床病例更为突出,影响了预防控制策略和措施的实施。
OBJECTIVE To understand the current situation of diagnosis and treatment cases in typhoid fever/paratyphoid in Yuxi and provide reference for diagnosis and improve the quality of our report. METHODS The retrospective investigation method was used to analyze of typhoid/paratyphoid diagnostic cases in Yuxi from 2012 to 2014. RESULTS The total of 510 cases were collected. The constitute of typhoid and paratyphoid in clinical cases was 6：1, the constitute of typhoid and paratyphoid in confirmed cases was 1：15. The proportion of clinical signs and symptoms in confirmed cases was higher than clinical cases （P〈0.05）, that relatively close to the diagnostic criteria. The eosinophilic granulocyte of confirmed cases in typhoid/paratyphoid were reduced or disappeared, and proportion was higher than clinical cases（P〈0.05）. The cultivation rate of confirmed cases were 100.00%, the cultivation rate of clinical cases were 44.92%. There were 24.12% of total cases were treated in less than 10 days. The treatment course of clinical cases were shorter than confirmed cases, and 50.80% of clinical cases treatment were less than 10 days. The only 7.25% of excrement were cultivated according to the discharge standards. CONCLUSION The clinical symptoms, signs, test results and treatment of typhoid paratyphoid are differences between clinical cases and confirmed cases. The diagnosis and treatment of some cases did not follow diagnosis standard and prevention manual implementation, especially, clinical cases was more outstanding, which affected the implementation of the prevention and control strategies and measures.
出处
《中国初级卫生保健》
2016年第9期44-46,49,共4页
Chinese Primary Health Care
关键词
伤寒、副伤寒
诊断
治疗
玉溪
typhoid
paratyphoid
diagnosis
treatment
Yuxi
