|本期目录/Table of Contents|

[1]王淑梅,陈宏义,陈明发.南昌地区儿童麻疹265 例分析[J].传染病信息,2019,02:148-150153.
 WANG Shu-mei*,CHEN Hong-yi,CHEN Ming-fa.Analysis of 265 children with measles in Nanchang[J].Infectious Disease Information,2019,02:148-150153.
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南昌地区儿童麻疹265 例分析(PDF)

《传染病信息》[ISSN:1007-8134/CN:11-3886/R]

期数:
2019年02期
页码:
148-150153
栏目:
论 著
出版日期:
2019-05-15

文章信息/Info

Title:
Analysis of 265 children with measles in Nanchang
文章编号:
1007-8134(2019)02-0148-04
作者:
王淑梅陈宏义陈明发
330002,南昌市第九医院感染科(王淑梅、陈宏义、陈明发)
Author(s):
WANG Shu-mei* CHEN Hong-yi CHEN Ming-fa
Department of Infectious Diseases, the Ninth Hospital of Nanchang, 330002, China
关键词:
麻疹流行病学临床特征麻疹消除
Keywords:
measles epidemiology clinical features elimination of measles
分类号:
R511.1
DOI:
10.3969/j.issn.1007-8134.2019.02.013
文献标识码:
A
摘要:
目的 分析南昌地区儿童麻疹的流行病学与临床特征,以寻求消除麻疹策略。方法 用描述性统计学方法回 顾性分析2013 年确诊的265 例儿童麻疹患者的流行病学与临床特征。 结果 265 例患儿中发病年龄以6 ~ 12 月龄居多(195 例),占73.6%;178 例(67.2%)患儿在发病前有麻疹接触史;典型麻疹194 例(73.2%);重型麻疹18 例(6.8%),其 中5 例(1.9%)死亡,主要死因为重症肺炎、呼吸衰竭。结论 儿童麻疹发病率升高与未及时接种麻疹疫苗、入院就诊麻 疹暴露和未母乳喂养密切相关。因此,麻疹消除须增加麻疹疫苗接种覆盖率,加强麻疹监控,尽可能减少院内暴露,提倡母 乳喂养。重型患儿须重点防治呼吸衰竭、心力衰竭,以减少病死率。
Abstract:
Objective To analyze the epidemiological and clinical features of the children with measles in Nanchang, and propose the reasonable strategies of eliminating measles. Methods Epidemiological and clinical features of 265 children with measles in 2013 were retrospectively analyzed by using descriptive statistical analysis. Results Among the involved 265 children, the onset age was 6-12 months old in 195 cases, accounting for 73.6%, 178 cases (67.2%) had contact history of measles before onset, 194 cases (73.2%) were typical measles, 18 cases (6.8%) were severe measles and 5 cases (1.9%) of them died of severe pneumonia and respiratory failure. Conclusions The high incidence of measles in children is closely related to the absence of measles vaccine immunization, nosocomial exposure to measles and non-breast-feeding. Therefore, it is essential to improve vaccination coverage, strengthen measles surveillance, reduce nosocomial exposure and advocate breast feeding for the elimination of measles. Severe measles patients need to focus on the prevention and treatment of respiratory failure and heart failure in order to reduce mortality.

参考文献/References


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备注/Memo

备注/Memo:

[ 通信作者] 王淑梅,E-mail: yhu4@163.com
*Corresponding authors, E-mail: yhu4@163.com
更新日期/Last Update: 2019-05-15