新型冠状病毒肺炎患者出院管理的流行病学探讨  

Epidemiological study on discharge management of patients with COVID-19

作　　者：苏小可[1] 姚令辉[1] 段良松[1] 谭文艳 谭晓罗[1] 刘鸽群 陈柏塘[1] 黄莲英 何德彪 李莉菊 SU Xiao-ke;YAO Ling-hui;DUAN Liang-song;TAN Wen-yan;TAN Xiao-luo;LIU Ge-qun;CHEN Bai-tang;HUANG Lian-ying;HE De-biao;LI Li-ju(Chenzhou Municipal Center for Disease Control and Prevention,Chenzhou,Hunan 423000,China;The Second People’s Hospital of Chenzhou City,Chenzhou,Hunan 423000,China;Yongxing County Center for Disease Control and Prevention,Yongxing,Hunan 423300,China;Suxian District Center for Disease Control and Prevention,Chenzhou,Hunan 423000,China)

机构地区：[1]郴州市疾病预防控制中心,湖南郴州423000 [2]郴州市第二人民医院,湖南郴州423000 [3]永兴县疾病预防控制中心,湖南永兴423300 [4]苏仙区疾病预防控制中心,湖南郴州423000

出　　处：《实用预防医学》2023年第1期13-15,共3页Practical Preventive Medicine

基　　金：郴州市科学技术局科技发展计划项目(ZDYF2020205)。

摘　　要：目的分析新型冠状病毒肺炎(简称新冠肺炎)患者出院后的传染风险。方法收集整理分析郴州市40例确诊病例、6例无症状感染者诊断、住院治疗、出院及复查的资料,判定患者出院后是否安全。结果截至2020年5月31日,按照《诊疗方案》(试行第六版)解除隔离和出院标准,40例确诊病例全部治愈出院,确诊后住院天数7~29 d,平均12.50 d,≤14 d 29例,>14 d 11例;6例无症状感染者均治愈出院,确诊后住院天数6~16 d,平均14 d,≤14 d 5例,>14 d 1例;均经过两次以上咽拭子核酸检测阴性。6例确诊病例出院后复检核酸阳性。结论新冠肺炎患者出院后,可能仍有传染风险,建议完善出院标准,加强患者出院后管理,及时规范随访、复诊。Objective To analyze the risk of transmission in patients with COVID-19 after discharge from hospital.Methods We collected and analyzed the data about diagnosis,hospitalization,discharge and re-examination of 40 confirmed cases and 6 asymptomatic infected cases in Chenzhou City,and determined whether the patients were safe after discharge.Results As of May 31,2020,all the 40 confirmed cases were cured and discharged from hospital according to the criteria for lifting isolation and discharge from COVID Diagnosis and Treatment Protocol(Trial Version 6).The length of hospital stay after confirmed diagnosis was 7-29 days,with an average of 12.50 days.29 cases experienced hospitalization≤14 days and 11 cases hospitalization>14 days.All the 6 asymptomatic infected patients were cured and discharged from hospital.The length of hospital stay after confirmed diagnosis was 6-16 days,with an average of 14 days.5 cases experienced hospitalization≤14 days and 1 case hospitalization>14 days.All of them were negative for viral nucleic acid testing of pharyngeal swabs twice or more.However,6 confirmed cases were positive for viral nucleic acid retesting after discharge.Conclusion COVID-19 patients may still be at risk of transmission after they are discharged from hospital,suggesting that discharge standards should be improved,patients’discharge management should be strengthened,and follow-up and rechecking should be standardized in time.

关 键 词：新型冠状病毒肺炎 出院管理 流行病学 

分 类 号：R563.1[医药卫生—呼吸系统]