郑州市二级以上公立医疗机构流行性乙型脑炎临床诊断水平调查分析  

Investigation and Analysis on the Clinical Diagnosis Level of Epidemic Encephalitis B in Public Medical Institutions Above Grade 2 in Zhengzhou

作　　者：张航 牛卫东[1] 胡乃月 孙丽梅[1] 龚丽[2] ZHANG Hang;NIU Weidong;HU Naiyue;SUN Limei;GONG Li(Microbiological Laboratory,Zhengzhou Center for Disease Control and Prevention,Zhengzhou 450007,China;Division of Rheumatology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州市疾病预防控制中心微检所,河南郑州450007 [2]郑州大学第一附属医院风湿免疫科,河南郑州450052

出　　处：《河南医学研究》2021年第22期4055-4058,共4页Henan Medical Research

摘　　要：目的通过分析流行性乙型脑炎监测结果,了解郑州市二级以上公立医疗机构流行性乙型脑炎临床诊断水平。方法选取2016年1月至2020年12月郑州市二级以上公立医疗机构的流行性乙型脑炎临床诊断病例,对实验室确诊结果进行分析。结果收集到2016—2020年流行性乙型脑炎临床诊断病例260例,其中省级医院、市级医院、县级医院分别占56.15%、41.53%、2.31%。脑脊液标本送检率较血清标本送检率低(P<0.05)。经实验室确诊130例,确诊率为50.00%。省级医院流行性乙型脑炎确诊率较市级医院低(P<0.05)。2016—2019年流行性乙型脑炎确诊率呈逐年下降的趋势,2020年又有所回升。2016—2020年不同年份间流行性乙型脑炎确诊率比较,差异有统计学意义(P<0.05)。市级医院流行季和非流行季流行性乙型脑炎确诊率高于省级医院(P<0.05)。市级医院男性和女性流行性乙型脑炎确诊率均高于省级医院(P<0.05)。市级医院<15岁和≥40岁流行性乙型脑炎确诊率高于省级医院(P<0.05)。结论省级医院应当加强临床人员对流行性乙型脑炎的诊断意识,进一步提高诊断流行性乙型脑炎的水平。建议郑州市开展以实验室病原学检测为基础的急性脑炎、脑膜炎症状检测项目,扩大流行性乙型脑炎实验室监测网络。Objective By analyzing the surveillance results of epidemic encephalitis B,to understand the clinical diagnosis level of epidemic encephalitis B in public medical institutions above Grade 2 in Zhengzhou.Methods The clinically diagnosed cases of epidemic encephalitis B in public medical institutions above Grade 2 in Zhengzhou from January 2016 to December 2020 were selected,and the laboratory confirmed results were analyzed.Results A total of 260 clinically diagnosed cases of epidemic encephalitis B from 2016 to 2020 were collected,of which provincial hospitals,municipal hospitals and county hospitals accounted for 56.15%,41.53% and 2.31%,respectively.The submission rate of cerebrospinal fluid samples was lower than that of serum samples(P<0.05).A total of 130 cases were confirmed by the laboratory,and the diagnosis rate was 50.00%.The diagnosis rate of epidemic encephalitis B in provincial hospitals was lower than that in municipal hospitals(P<0.05).From 2016 to 2019,the diagnosis rate of epidemic encephalitis B showed a downward trend year by year,and it rose again in 2020.There were statistical differences in comparison of the diagnosis rate of epidemic encephalitis B in different years from 2016 to 2020(P<0.05).The diagnosis rates of epidemic encephalitis B of municipal hospitals in epidemic season and non-epidemic season were higher than those of provincial hospitals(P<0.05).The diagnosis rates of epidemic encephalitis B of male and female in municipal hospitals were higher than those in provincial hospitals(P<0.05).The diagnosis rates of epidemic encephalitis B in municipal hospitals under 15 years old and≥40 years old were higher than those in provincial hospitals(P<0.05).Conclusion Provincial hospitals should strengthen the clinical staff’s awareness of the diagnosis of epidemic encephalitis B,and further improve their diagnostic level of epidemic encephalitis B.It is suggested that the detection project of acute encephalitis and meningitis symptoms based on laboratory etiological detection should be c

关 键 词：流行性乙型脑炎 医院 确诊率 

分 类 号：R512.32[医药卫生—内科学]