妊娠期感染甲型H1N1流感46例临床分析  

A Clinical Analysis of 46 Pregnant Women Infected with Influenza A (H1N1)

作　　者：张志强[1] 周军荣[2] 刘刚[1] 翟永志[1] 陈歆[1] 缪媛媛[1] 刘梦林[1] 

机构地区：[1]中国人民解放军总医院发热疾病科,北京市100853 [2]中国人民解放军总医院心电图室

出　　处：《中国全科医学》2010年第6期582-583,共2页Chinese General Practice

摘　　要：目的分析妊娠期感染甲型H1N1流感患者的临床症状、体征及病程。方法回顾性分析2009年9月—11月我科接诊并确诊为妊娠合并甲型H1N1流感的46例患者的临床资料,并与同期余甲型H1N1流感患者412例的临床资料进行比例分析。结果与其他甲型H1N1流感患者相比,妊娠期感染甲型H1N1流感患者头痛、流涕症状出现的比例明显增多,咽痛症状明显减少,差异有统计学意义(P<0.05);两组单核细胞百分比间差异有统计学意义(P<0.05);最高体温、体征、发热天数以及血常规其他检测结果间差异无统计学意义(P>0.05)。结论妊娠期感染甲型H1N1流感患者,临床症状略重于其他甲型H1N1流感患者,发热天数、最高体温、体征、血常规检查和其他甲型H1N1流感患者无明显差别。Objective To analyze the clinical symptoms, physical signs, and disease course of influenza A （H1N1 ） in pregnant women. Methods The clinical data of 46 pregnant women infected with influenza A （ H1 N1 ） and 412 non - pregnant （NP） patients infected with influenza A （ H1N1 ） who were treated in our department from September 2009 to November 2009 were collected and analyzed retrospectively. Results Compared with the NP patients, headache and sneezing were significantly more common （P 〈 0. 05 ）, sore throat was significantly less frequent （P 〈 0. 05 ）, and the percent of mononuelear cell was significantly lower （P 〈 0. 05 ） in the pregnant women infected with influenza H1N1. The peak body temperature, fever duration, and the other results of routine blood tests were not significantly different between these two groups （ P 〉 0.05 ） . Conclusion The clinical symptoms of the pregnant women infected with influenza A （ H1N1 ） are slightly more severe than those of NP patients, while the peak body temperature, fever duration, physical signs, and the other results of routine blood tests are similar.

关 键 词：流感病毒A型 H1N1亚型 妊娠 

分 类 号：R511.7[医药卫生—内科学]