新型冠状病毒肺炎流行高峰期神经内科急诊患者的特征  

Clinical characteristics of emergency patients in departments of neurology at the peak of Covid-19

作　　者：宋叶平[1] 王丽玲 郭莎莎 董青[1] 李焰生[1] 糜建华[1] SONG Yeping;WANG Liling;GUO Shasha;DONG Qing;LI Yansheng;MI Jianhua(Department of Neurology,Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院神经内科,上海200127 [2]山东省禹城市中医院神经内科,山东禹城251200

出　　处：《实用医学杂志》2021年第8期974-978,共5页The Journal of Practical Medicine

摘　　要：目的本研究旨在了解新型冠状病毒肺炎(corona virus disease 2019,COVID-19)疫情高峰期神经内科急诊患者的特征性改变。方法对2020年疫情高峰期我院神经内科急诊患者与2018年和2019年同一时间段患者的性别、年龄、主要就诊症状进行比较,并对2020年患者进行创伤后应激障碍(posttraumatic stress disorder,PTSD)评估。结果 2020年疫情高峰期女性患者构成比下降明显,差异有统计学意义(P=0.002)。急性卒中和躯体化症状患者构成比差异有统计学意义(P <0.001)。不同性别、年龄及症状分类间PTSD发生率差异无统计学意义(P=0.388、0.909、0.224)。结论疫情高峰期,女性、躯体化症状患者相对减少,故疫情后续流行期间,要求为重视本学科女性和躯体化症状患者的健康。Objective To investigate the behavioral characteristics of emergency patients in departments of neurology at the peak of epidemic,Covid-19.Methods Comparisons were made between the emergency patients in the department of neurology of our hospital in 2020 and those in 2018 and 2019 in terms of gender,age and main symptoms.Then the patients in 2020 were evaluated for post-traumatic stress disorder(PTSD).Results In 2020,the proportion of female patients in the epidemic peak was significantly decreased,with statistically significant difference(P=0.003).There was significant difference in the proportion of patients with acute stroke and somatization (P<0.001).There was no significant difference in the incidence of PTSD among different gender,age and symptom classification(P=0.388,0.909 and 0.224,respectively).Conclusion At the peak of Covid-19,the number of women and patients with somatization symptoms was relatively reduced.Therefore,more attention should be paid to the women and patients with somatization symptoms for their health the subsequent epidemics.

关 键 词：新型冠状病毒肺炎 突发公共卫生事件 

分 类 号：R184[医药卫生—流行病学] R511[医药卫生—公共卫生与预防医学]