不同年龄组基孔肯雅热患者的临床表现比较

目的分析不同年龄组基孔肯雅热患者的临床表现。方法 130例基孔肯雅热患者,按年龄分为三组：〈30岁、30～岁、≥60岁组,分析其临床症状的差异。结果三组患者均出现发热,皮疹的发生率分别为86.8%、91.4%、90.9%,关节痛的比例分别为86.8%、91.4%、95.5%,关节痛持续时间超过14d的比例分别为2.6%、30.0%、36.4%;与〈30岁组比较,30～岁和≥60岁组患者出现关节痛持续时间超过14d以及累及3个或以上关节的比例高,差异均有统计学意义（χ2=13.026,P=0.001;χ2=6.792,P=0.034）。结论基孔肯雅热主要表现为发热、皮疹、关节痛,中、老年组患者出现关节疼痛持续时间较长,累及的关节多。

Clinical manifestations of patients with chikungunya fever at different age groups

Objective To analyze clinical manifestations of different age group patients with chikungunya fever.Methods According to the age,130 patients with chikungunya fever were divided into 3 groups（Group 1：less than thirty years;Group 2：from thirty to fifty-nine years;Group 3：over sixty years）.Results All the patients in three groups had fever,and 86.8% of patients in group 1,91.4% in group 2 and 95.5% in group 3 had rash.The arthralgia rates of group 1,2 and 3 were 86.8%,91.4% and 95.5% respectively.And 2.6% of group 1 patients,30.0% of group 2,and 36.4% of group 3 were persistently with arthralgia more than 14 days.The rates of having arthraglia more than 14 days and not less than 3 joints of patients in group 2 and group 3 were higher than that in group 1（x2=13.026,P=0.001;x2=6.792,P=0.034）.Conclusion The main symptoms of chikungunya fever were fever,rash and arthralgia.Older patients had a longer time of rathralgia and more joints injured.