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目的了解深圳市成人住院社区获得性肺炎(CAP)的发病情况和规律,为CAP的进一步研究和防治提供科学依据。方法通过深圳市病案首页信息系统收集2014-01-01/2014-12-31期间入院的,全市15岁以上的社区获得性肺炎住院病例信息,进行流行病学分析;并收集2014年初全市人口数据资料,进行发病率的计算。结果 2014年深圳市共有15岁以上CAP住院病例11 823例,以20~49岁青壮年为主,占总病例数的55.36%;男性和女性病例数之比为1.22∶1;1~6月份是深圳市CAP住院病例发病的高峰期,11、12月份为全年发病最低时期。15岁以上CAP发病率为123.37/10万,其中65岁以上人群CAP发病率为1 509.07/10万。病原学诊断以细菌性肺炎为主(51.77%),其次为支原体肺炎占29.12%。病原体的季节分布差异无统计学意义,年龄分布差异有统计学意义,细菌性肺炎比例随年龄增高而增加,支原体肺炎随年龄增高而降低。结论 CAP发病率受季节及年龄影响,老人是深圳市CAP的高危人群,不同年龄病原体分布情况不同。
Objective To investigate the incidence and patterns of community acquired pneumonia (CAP) in adults in Shenzhen, and to provide a scientific basis for further research and prevention and treatment of CAP. Methods The information of community-acquired pneumonia patients over the age of 15 hospitalized from 2014-01-01 / 2014-12-31 during the period from January 2014 to January 2014 was collected through the Shenzhen Medical Record Homepage Information System for epidemiological analysis; and the population data of the whole city in early 2014 Data, the incidence of the calculation. Results A total of 11 823 CAP inpatients over the age of 15 in Shenzhen were enrolled in 2014, accounting for 55.36% of the total number of young adults aged 20-49 years; the ratio of male to female cases was 1.22: 1; from January to June Is the peak incidence of CAP inpatient cases in Shenzhen City, 11, December is the lowest incidence of the year. The incidence of CAP over the age of 15 was 123.37 / 100 000, of which the incidence of CAP in people over 65 was 1 509.07 / 100 000. Etiological diagnosis of bacterial pneumonia mainly (51.77%), followed by mycoplasma pneumonia accounted for 29.12%. There was no significant difference in the seasonal distribution of pathogens between the two groups. The age distribution was statistically significant. The proportion of bacterial pneumonia increased with age. Mycoplasma pneumonia decreased with age. Conclusions The incidence of CAP is affected by the season and age. The elderly are the high risk population of CAP in Shenzhen. The distribution of pathogens at different ages is different.