成人不同类型流行性感冒的流行病学与临床特征研究  

Epidemiological and clinical characteristics of different types of influenza in adults

作　　者：向丹 张秀瑜[2] 何霞[1] XIANG Dan;ZHANG Xiuyu;HE Xia(Department of Clinical Laboratory,Ya'an people's Hospital,Ya'an,Sichuan 625000,China;Department of Clinical Laboratory,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]雅安市人民医院检验科,四川雅安625000 [2]重庆医科大学附属第二医院检验科,重庆400010

出　　处：《现代医药卫生》2023年第2期229-232,共4页Journal of Modern Medicine & Health

摘　　要：目的 分析成人不同类型流行性感冒(流感)的流行病学特点与临床特征,为流感的防治工作提供依据。方法 收集2018年12月至2019年4月四川省雅安市人民医院收治的诊断为流感患者544例作为病例组,随机抽取同期流感抗原阴性患者369例作为对照组。回顾性分析不同类型流感患者流行病学特点和临床特征。结果 流感患者临床症状以咳嗽、咽痛、畏寒、寒战、卡他症状、头痛、全身肌肉酸痛为主,甲型流感患者较乙型流感患者畏寒、寒战、全身肌肉酸痛症状明显。检测中性粒细胞百分比、中性粒细胞/淋巴细胞比值诊断流感的受试者工作特征曲线的曲线下面积分别为0.615、0.627。结论 甲型流感患者畏寒、寒战、全身肌肉酸痛症状较乙型流感患者明显。检测中性粒细胞百分比、中性粒细胞/淋巴细胞比值对流感具有一定的诊断价值。Objective To analyze the epidemiological and clinical characteristics of different types of influenza in adults and to provide basis for the prevention and treatment of influenza.Methods A total of 544 patients with influenza diagnosed in Ya′an people′s Hospital from December 2018 to April 2019 were collected as the case group, and 369 patients with negative influenza antigen were randomly selected as the control group.The epidemiological and clinical characteristics of patients with different types of influenza were retrospectively analyzed.Results The main clinical symptoms of patients with influenza were cough, sore throat, chills, catarrhal symptoms, headache and muscle aches.The symptoms of chills and muscle aches in patients with influenza A were more obvious than those in patients with influenza B.The areas under the curve of receiver operating characteristic(ROC) curve for detecting the percentage of neutrophil and the ratio of neutrophil to lymphocyte in diagnosing influenza were 0.615 and 0.627,respectively.Conclusion The symptoms of chills and muscle soreness in patients with influenza A are more obvious than those in patients with influenza B.The percentage of neutrophil and the ratio of neutrophil to lymphocyte have certain diagnostic value for influenza.

关 键 词：成年人 流行性感冒 流行病学 临床特征 

分 类 号：R373.13[医药卫生—病原生物学] R183.3[医药卫生—基础医学]