社区急性上呼吸道感染分析

目的 分析2008 -2010年急性上呼吸道感染的临床特点,为临床治疗提供参考.方法 随机抽样我院急诊科2008 -2010年急性上呼吸道感染患者登记资料,每年300例,统计分析相关检验检测指标.结果 2008年咽拭子培养结果中34例为草绿色溶血性链球菌,8例流感嗜血杆菌,阳性率为14.0％(42/300).2009年26例为草绿色溶血性链球菌,4例流感嗜血杆菌,阳性率为10.0％( 30/300).2010年28例为草绿色溶血性链球菌,4例流感嗜血杆菌,阳性率为10.7％ (32/300).3年培养结果阳性率差异无统计学意义(x2=0.003,P＞0.05).2008年68例(22.7％)中性粒细胞升高,32例(10.7％)降低；2009年74例(24.7％)升高,48例(16.0％)降低；2010年71例(23.7％)升高,38例(12.7％)降低.3组差异无统计学意义(P＞0.05).2008年血液分析结果显示以淋巴细胞升高为主,为188例,占62.7％；2009年为224例,占74.7％;2010年以淋巴细胞降低为主,为185例,占61.7％.3组差异有统计学意义(P＜0.05).2008年单核细胞升高88例(29.3％),降低3例(1％);2009年单核细胞升高76例(25.3％),降低4例(1.3％)；2010年单核细胞升高82例(27.3％),降低1例(0.3％).3组单核细胞变化情况差异无统计学意义(P＞0.05).结论 2008至2010年武昌区居民上呼吸道感染以病毒为主要病因,2009年及2010年主要以淋巴细胞偏低为血液分析变化特点.

Review of acute upper respiratory tract infection in community

Objective To analyze the clinical characteristic of acute upper respiratory tract infection in Wuchang District,Wuhan City.Methods Nine hundred cases of acute upper respiratory tract infection with registration data were randomly selected in Department of Emergency in the recent 3 years.They were divided into 3 groups according to calendarian year.Their serological data were analyaed.Results In 2008,there were 34 cases of hemolytic streptococcus and 8 cases of haemophilus influenzae from throat swabs culture with positive rate of 14.0％ (42/300).In 2009,there were 26 cases of hemolytic streptococcus,4 cases of haemophilus with positive rate of 10.0％ (30/300).In 2010,there were 28 cases of hemolytic streptococcus,4 cases of haemophilus influenzae with positive rate of 10.7％ (32/300).There was no significant difference in the positive rate of culture(x2 =0.003,P ＞ 0.05 ).In 2008,68 cases of neutrophils increased (22.7％ ),32 cases decreased ( 10.7％ ).In 2009,74 cases increased(24.7％ ),48 cases decreased ( 16.0％ ).In 2010,71 cases increased (23.7％),38 cases decreased ( 12.7％ ).There was no significant difference between the three groups (P ＞0.05).In 2008,the results of blood analysis showed that there were 188 cases(62.7％ ) of lymphocytes increase,which dominated.In 2009,there were 224 cases(74.7％ ) of lymphocytes increase.But in 2010,there were 185 cases(61.7％ ) of lymphocytes decrease,which dominated.There was significant difference between the three groups (P ＜ 0.05 ).In 300 patients of 2008,88 cases (29.3％ ) of monocytes rose,3 cases reduced ( 1％ ).In 300 patients of 2009,76 cases (25.3％ ) rose and 4 cases reduced (1.3％) ; In 300 patients of 2010,82 cases rose (27.3％ ),1 cases reduced (0.3 ％ ).There was no significant difference in the monocytes between the three groups ( P ＞ 0.05 ).Virus is the major causal agents for the upper respiratory tract infection in Wuchang District from 2008 to 2010.The difference of lymphocytes counting showed statistical significance,increased in 2008 and 2009,decreased in 2010.The changes of lymphocyte counting in blood analysis is mainly characteristics in 2010.Conclusion Virus is the major causal agents for the upper respiratory tract infection in Wuchang District in last 3 years.Lymphocytes counting in blood analysis were decresad in 2010.