青岛市2010年夏季病毒性腹泻流行病学特点  

EPIDEMIOLOGIC FEATURES OF SUMMER VIRAL DIARRHEA IN 2010 IN QINGDAO

作　　者：李晓宇[1] 边城[1] 刘超[1] 遇海清[1] 张璞玉[2] 

机构地区：[1]青岛大学医学院附属医院感染科,山东青岛2660031 [2]青岛大学医学院附属医院检验科,山东青岛2660031

出　　处：《齐鲁医学杂志》2012年第1期43-45,共3页Medical Journal of Qilu

摘　　要：目的了解2010年青岛市夏季病毒性腹泻的流行病学特点。方法收集2010年5—9月青岛市临床诊断为病毒性腹泻病人的临床资料进行流行病学分析。随机抽取其中260例病人进行大便标本病原学检测,并与260例细菌性腹泻病人进行比较。结果病毒性腹泻病人数占就诊腹泻总人数的60.6%,发病人群以中青年为主,平均年龄38.0岁。主要临床症状有腹痛(48.1%),发热(46.8%),水样便(43.8%)。大便病毒检测阳性率40.8%,其中轮状病毒(36.8%)、星状病毒(23.6%)和诺如病毒(22.6%)为主要病原体。与细菌性腹泻相比,受凉诱因、有无发热、是否水样便、腹泻次数以及腹鸣等症状差异有显著性(χ2=4.207～7.964,P<0.05)。结论2010年夏季腹泻以病毒性腹泻为主,轮状病毒和星状病毒为主要病原体,抗病毒治疗不能显著改善疗效。Objective To understand the characters of epidemiology of virus diarrhea in summer of 2010 in Qingdao.Methods Stool samples of patients with confirmed viral diarrhea,during May-September 2010 in Qingdao,were collected,an epidemiological analysis of their clinical information carried out.Of which,260 samples of viral diarrhea were taken in random for detection of etiology,and compared with 260 patients with bacterial diarrhea.Results Patients with viral diarrhea accounted for 60.6% of total number of those who came to visit doctors＇ office because of diarrhea,most of them were young and middle-aged,with mean age of 38 years.Their main clinical symptoms were abdominal pain（48.1%）,fever（46.8%）,and watery stool（43.8%）.The positive rate virus detection in stool was 40.8%,of which,rotavirus（36.8%）,astrovirus（23.6%） and norovirus（22.6%） were the main pathogens.Compared with bacterial diarrhea,the differences were significant in terms of catching cold,with or without fever,whether or not with watery stools,frequency of diarrhea,and bowel sound（χ2=4.207-7.964,P0.05）.Conclusion Summer diarrhea in Qingdao of 2010 was mainly viral origin,rotavirus and astrovirus being major pathogens,antiviral therapy did not notably improve the therapeutic effect.

关 键 词：腹泻 轮状病毒感染 星状病毒感染 流行病学 

分 类 号：R512.5[医药卫生—内科学]