不同年龄组基孔肯雅热患者的临床表现比较  

Clinical manifestations of patients with chikungunya fever at different age groups

作　　者：翟洁卿[1] 吴福全[1] 黄育波[1] 李鸿超 陈桂轩[1] 林炳亮[3] 

机构地区：[1]广东东莞市人民医院感染科,广东东莞523018 [2]广东东莞万江医院内科,广东东莞523018 [3]中山大学附属第三医院感染科,广东广州510630

出　　处：《热带医学杂志》2011年第9期1046-1047,1056,共3页Journal of Tropical Medicine

摘　　要：目的分析不同年龄组基孔肯雅热患者的临床表现。方法 130例基孔肯雅热患者,按年龄分为三组:<30岁、30～岁、≥60岁组,分析其临床症状的差异。结果三组患者均出现发热,皮疹的发生率分别为86.8%、91.4%、90.9%,关节痛的比例分别为86.8%、91.4%、95.5%,关节痛持续时间超过14d的比例分别为2.6%、30.0%、36.4%;与<30岁组比较,30～岁和≥60岁组患者出现关节痛持续时间超过14d以及累及3个或以上关节的比例高,差异均有统计学意义(χ2=13.026,P=0.001;χ2=6.792,P=0.034)。结论基孔肯雅热主要表现为发热、皮疹、关节痛,中、老年组患者出现关节疼痛持续时间较长,累及的关节多。Objective To analyze clinical manifestations of different age group patients with chikungunya fever.Methods According to the age,130 patients with chikungunya fever were divided into 3 groups（Group 1：less than thirty years;Group 2：from thirty to fifty-nine years;Group 3：over sixty years）.Results All the patients in three groups had fever,and 86.8% of patients in group 1,91.4% in group 2 and 95.5% in group 3 had rash.The arthralgia rates of group 1,2 and 3 were 86.8%,91.4% and 95.5% respectively.And 2.6% of group 1 patients,30.0% of group 2,and 36.4% of group 3 were persistently with arthralgia more than 14 days.The rates of having arthraglia more than 14 days and not less than 3 joints of patients in group 2 and group 3 were higher than that in group 1（x2=13.026,P=0.001;x2=6.792,P=0.034）.Conclusion The main symptoms of chikungunya fever were fever,rash and arthralgia.Older patients had a longer time of rathralgia and more joints injured.

关 键 词：基孔肯雅热 RT-PCR 发热 

分 类 号：R512.8[医药卫生—内科学]