恙虫病的临床发病特点回顾性分析  

Retrospective Analysis of Clinical Onset Characteristics of Tsutsugamushi Disease

作　　者：叶品钊 黎格兰 卢国圣 陈文振 Ye Pin-zhao;Li Ge-lan;Lu Guo-sheng;Chen Wen-zhen(Fengkai Hospital of Traditional Chinese Medicine,Zhaoqing 526500,Guangdong Province,China)

机构地区：[1]封开县中医院,广东肇庆526500

出　　处：《中国社区医师》2022年第17期31-33,共3页Chinese Community Doctors

摘　　要：目的:对恙虫病的临床发病特点进行分析与评估,进而为临床医师早期诊断及治疗提供指导。方法:选取2013年5月-2020年12月封开县中医院接收的262例恙虫病患者作为研究对象,对易感人群、患病环境、预后情况等进行回顾性分析。结果:262例恙虫病患者就诊时表现症状为发热、焦痂或溃疡,疾病表现为食欲减退、头痛以及乏力等;焦痂或溃疡发生部位主要为腹股沟、会阴及胸背腹部等;确诊时间越长,病死率越高、器官损害的数量越多,差异有统计学意义(P<0.05)。结论:恙虫病随着确诊时间的延长不仅会导致器官损害数量增多,而且会增加治疗难度,增加疾病病死率。因此,早期进行疾病诊断可以有效提升治疗效果,对疾病恢复具有促进作用。Objective:To analyze and evaluate the clinical onset characteristics of tsutsugamushi disease,so as to provide guidance for clinicians in early diagnosis and treatment.Methods:A total of 262 patients with tsutsugamushi disease received by Fengkai Hospital of Traditional Chinese Medicine from May 2013 to December 2020 were selected as the research objects,and the susceptible population,the disease environment and prognosis were analyzed retrospectively.Results:The symptoms of 262 patients with tsutsugamushi disease were fever,eschar or ulcer,and the disease manifestation was anorexia,headache and fatigue;the eschar or ulcer mainly occurred in the groin,perineum,chest,back and abdomen;The longer the time of diagnosis,the higher the fatality rate and the more organ damage,and the difference was statistically significant(P<0.05).Conclusion:With the prolonging diagnosis time,tsutsugamushi disease will not only lead to increased number of organ damage,but also increase the difficulty of treatment and mortality.Therefore,early diagnosis can effectively improve the treatment effect and promote the recovery of the disease.

关 键 词：恙虫病 回顾性分析 临床发病特点 

分 类 号：R513.2[医药卫生—内科学]