夏季腹泻病人2197例的患病状况分析  

SUMMER DIARRHEA:AN ANALYSIS OF 2197 PATIENTS

作　　者：李晓宇[1] 田字彬[2] 李冰[1] 边城[1] 王惠[1] 

机构地区：[1]青岛大学医学院附属医院肠道门诊,山东青岛266003 [2]青岛大学医学院附属医院消化科,山东青岛266003

出　　处：《青岛大学医学院学报》2010年第1期70-72,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的了解夏季腹泻的流行病学特点。方法收集20072008年到我院肠道门诊就诊的夏季腹泻病人粪便标本，进行粪便常规检测及粪便培养，并对病人临床资料进行分析。结果腹泻的高发季节为7、8月份，21～40岁病人最为常见，病因多为食用被污染的肉制品或海鲜食物。细菌性腹泻和非细菌性腹泻病人的临床表现没有明显差别。粪便检出致病菌位列前3位的是：弧菌科、变形杆菌属和志贺菌属。2008年就诊病人的总数及细菌性腹泻病人所占比例均较2007年明显下降。结论致病弧菌是引起腹泻的主要病原菌，正确使用抗生素对治疗腹泻至关重要。Objective To explore the epidemiological characteristics of summer diarrhea. Methods Stool samples were collected from patients with summer diarrhea who visited the intestinal out-patient clinic of the Affiliated Hospital in 2007 and 2008. The samples were checked routinely and cultured, and the clinical data analyzed. Results The high incidence months of diarrhea were July and August, mostly seen in patients aged 21--40 years. The common causes of diarrhea were polluted meat product and sea food. There was no significant difference between the clinical symptoms of bacterial and non-bacterial diarrhea. The first three common bacteria detected from the stool samples were Vibrionaceae, Proteus and Shigella. The total number of the patients and its proportion of bacterial diarrhea in 2008 were lower than that in 2007. Conclusion Vibrionaceae is the main pathogenic bacteria causing diarrhea. Correct use of antibiotics is essential for diarrhea.

关 键 词：腹泻 夏季 流行病学研究 

分 类 号：R574[医药卫生—消化系统]