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作 者:何松美[1] 吴煜良[2] 翟洁卿[1] 沈真发 袁艮弟 殷思纯[1] 叶泽辉[4] 龙尧[5]
机构地区:[1]东莞市人民医院感染科,广东东莞523000 [2]东莞市人民医院放疗科,广东东莞523000 [3]东莞市高埗医院内科,广东东莞523287 [4]东莞市人民医院急诊科,广东东莞523000 [5]广东医学院附属医院感染科,广东湛江524000
出 处:《中华实用诊断与治疗杂志》2014年第8期770-771,共2页Journal of Chinese Practical Diagnosis and Therapy
基 金:东莞市科技计划项目(201210515001110)
摘 要:目的探讨基孔肯雅热关节症状发病的相关危险因素及关节症状特点。方法回顾性分析154例基孔肯雅热患者3a随访资料。结果基孔肯雅热患者关节疼痛发生率女性(34.41%)高于男性(15.58%)(P〈0.05);年龄≤16岁者关节疼痛发生率为9.52%,〉16~60岁者为46.39%,〉60岁者为83.33%,3个年龄组关节疼痛发生率比较差异均有统计学意义(P〈0.05);基孔肯雅热患者关节症状发生与性别、年龄相关(r=0.597,P=0.030;r=0.743,P=0.003);受累关节以双侧对称多关节发病,发病比例从高到低为踝关节、膝关节、腕关节、肘关节、指趾关节、胸腰椎关节。结论基孔肯雅热病毒感染导致的关节炎以女性及老年患者多发,受累关节以负重关节为主。Objective To explore the risk factors and characteristic of joint symptoms of Chikungunya fever.Methods The 3-year follow-up data were retrospectively analyzed in 154 patients with Chikungunya fever.Results The incidence of joint pain of Chikungunya fever was significantly higher in female patients(34.41%)than that in male patients(15.58%)(P〈0.05),and was 9.52%in patients aged 16 years or younger,46.39%in patients aged from 16 to 60years and83.33%in patients older than 60 years,showing significant differences among three different ages groups(P〈0.05).The joint symptom was correlated with the gender and age(r=0.597,P=0.030;r=0.743,P=0.003).The joint symptoms usually occurred bilateral in multiply joints.The incidence was the highest in the ankle,followed by the knee,wrist,elbow,finger and toe,thoracic and lumbar joints.Conclusion The arthritis induced by Chikungunya virus commonly occurs in female and older patients.The involved joints are mainly in weight-bearing ones.
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