摘要
目的:调查传染性非典型肺炎(severeacuterespiratorysyndrome,SARS)患者中合并有慢性病者的临床流行病学特点。方法:回顾性分析680例SARS患者中合并慢性病的种类、数目和患者的年龄、主要临床症状和体征。结果:有合并症的SARS患者平均年龄远高于无并发症者(t=12.6,P<0.05),具有1种以上并发症的病例数为87例,占12.8%,最多者1例有4种并发症。糖尿病、高血压是最常见的SARS患者并发症,分别为20和19例,检出率分别是2.9%和2.8%;合并慢性病者出现呼吸困难、腹痛症状的概率显著高于无合并慢性病者(χ2=11.955,8.265,P<0.05)。有慢性病患者的收缩压犤(16.0±2.4)mmHg,1mmHg=0.133kPa犦和舒张压犤(9.3±1.6)mmHg犦均显著高于无基础疾患者犤(15.3±1.1),(8.9±1.6)mmHg犦(t=5.054,3.120,P<0.05)。结论:①SARS患者最常见的并发症是糖尿病和高血压。②有并发症者多为老年SARS患者,有并发症者常预后不良。③有并发症的SARS患者呼吸功能更易受损,出现呼吸困难。
AIM:To investigate the clinical epidemiologic features of severe acute respiratory syndrome(SARS) patients accompanied with chronic diseases. METHODS:A total of 680 SARS patients were enrolled in this study and were retrospectively analyzed,including the kind and number of accompanied chronic diseases and the age and main clinical symptoms and physical signs of patients. RESULTS:The SARS patients with accompanied symptoms were significantly older than those without accompanied diseases￡¨t=12.6,P< 0.05￡(c).There were 87 patients with more than one kind of accompanied diseases;accounting for 12.8%,and patients with 4 accompanied diseases was the patient with the most.Diabetes (20 patients) and hypertension(19 patients) were the most common diseases among the accompanied diseases, the examination rate of which was 2.9%and 2.8%respectively.In addition,the occurrence rate of dyspnea and abdominal aches of patients with accompanied chronic diseases was significantly higher than those without accompanied diseases￡¨|?2=11.955,8.265,P< 0.05￡(c). Moreover,the systolic pressure[(16.0±2.4)mm Hg, 1 mm Hg=0.133 kPa] and diastolic pressure[(9.3±1.6)mm Hg] were significantly higher than those without accompanied diseases[(15.3±1.1),(8.9±1.6) mm Hg](t=5.054,3.120,P< 0.05). CONCLUSION:Diabetes and hypertension are the most predisposing diseases among the SARS patients.And senior SARS patients are inclined to have accompanied chronic diseases and often have bad prognosis.The SARS patients with accompanied chronic diseases more easily have damaged respiratory function and dyspnea.
出处
《中国临床康复》
CSCD
2004年第21期4154-4156,共3页
Chinese Journal of Clinical Rehabilitation
基金
全军SARS专项基金资助项目(03F008-1)~~
