2003年天津市严重急性呼吸综合征在医院聚集发病特征  

Clustering Characteristics of SARS in Hospital in 2003 Tianjin

作　　者：朱向军[1] 张之伦[1] 李永成[1] 张颖[1] 高志刚[1] 房玉琳[1] 万丽霞[1] 陈伟[1] 王撷秀[1] 

机构地区：[1]天津市卫生防病中心,300011

出　　处：《天津医药》2006年第2期116-118,共3页Tianjin Medical Journal

摘　　要：目的:探讨严重急性呼吸综合征(SARS)在医院聚集发病的原因及应对措施。方法:对全市感染SARS的医务人员和我市部分未患SARS的医务人员(对照),用病例对照的方法分析可能影响因素。结果:发病的影响因素中OR>1且P<0.05的因素包括:接触SARS患者、被接触患者症状严重及接触患者分泌物;OR<1且P<0.05的有:规范使用标准防护用品、二级防护方式、良好的心理状况及吸烟。结论:接触患者时规范使用标准防护用品可以有效预防该病,SARS的主要传染源是临床重症患者,接触患者分泌物增加了感染危险。心理和工作压力是导致发病的促加因素。Objective： To investigate the reason and precaution measure for the clustering feature of severe acute respiratory syndrome （SARS） in the hospital Methods： The clinical data were collected from the hospital workers suffered SARS and ones uninfected as control. The main possible influence factors of SARS were analyzed. Results： The relative influence factors （OR 〉 1 and P 〈 0.05） were： contacted with SARS patients, contacted with the serious patients, and contacted with the secretion of the patients. The factors （OR 〈 1 and P 〈 0.05） were： canonically using standard protective equipment, second class protection method, good mentality condition and smoking. Conclusion： Using standard protective equipment can effectively prevent infection. Serious patient is the main infective source of SARS. Contacting with the patient＇s secretion can increase the infection chance. Bad mentality condition and big pressure of work can promote the risk of infection.

关 键 词：严重急性呼吸综合征 医务人员 医院聚集发病 

分 类 号：R563.1[医药卫生—呼吸系统] R511.1[医药卫生—内科学]