临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (8): 589-.doi: 10.3969/j.issn.1000-3606.2017.08.007

• 综合报道 • 上一篇    下一篇

3431 例麻疹患儿流行病学和临床特征分析

孙丙虎1, 王晓康2, 胡志亮1, 成骢1, 池云1, 魏洪霞1   

  1. 1 . 东南大学附属南京市第二医院感染科(江苏南京 210003);2 . 东南大学公共卫生学院流行病与卫生统计学系(江苏南京 210009)
  • 收稿日期:2017-08-15 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: 魏洪霞 E-mail:wghongxia@sina.com

Analysis on epidemiology and clinical characteristics of 3431 pediatric patients with measles

SUN Binghu1, WANG Xiaokang2, HU Zhiliang1, CHENG Cong1, CHI Yun1, WEI Hongxia1   

  1. 1. Department of Infectious Diseases, The Second Hospital Affiliated to Southeast University, Nanjing 210003, Jiangsu, China; 2.Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing 210009, Jiangsu, China
  • Received:2017-08-15 Online:2017-08-15 Published:2017-08-15

摘要: 目的 分析儿童麻疹的流行病学和临床特征。方法 采用描述性统计方法,回顾分析2008至2015年3 431例 麻疹患儿的临床资料。结果 儿童麻疹发病3~4年出现一个流行高峰,2009、2013和2015年均出现发病高峰。3~5月份为 高发季节。儿童麻疹发病年龄主要集中在1岁以内, 8个月内婴儿麻疹发病趋势随着月龄逐月增加;临床表现仍以典型症 状为主,主要为发热、皮疹、咳嗽和卡他症状等;主要并发症为肺炎、喉炎和心功能不全。结论 临床需加强对麻疹的早期 识别能力及并发症的诊断和治疗。

Abstract: Objective To analyze the epidemiology and clinical characteristics of the children with measles. Methods Retrospectively analyzed methods were applied to analyze the timing, and season of the break, age distribution, clinical manifestations and major complications of 3431 children with measles (<12 years) in the Second Hospital of Nanjing from 2008 to 2015. Results It found that there was a peak incidence of measles in children each in 2009, 2013, and 2015 , peaking in March to May. Onset age of measles mainly within the first year of life, and incidence increased with age within the first 8 months. Typical clinical manifestations are mainly fever, rash, cough, and catarrhal symptoms. The main complications of measles were pneumonia, laryngitis and heart failure. Conclusions Early diagnosis and effective treatment of the children with measles needs to be strengthened.