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目的通过对某院感染科215例细菌性痢疾患者流行病学和临床特征的分析,以指导临床诊治。方法回顾性分析215例细菌性痢疾患者的流行病学资料和临床资料。结果细菌性痢疾好发于夏秋季,4月-10月共204例,占全年发病的94.88%;好发于21岁~30岁、31岁~40岁、51岁~60岁及>60岁4个年龄段,共181例,占84.19%;主要表现为腹泻、腹痛、恶心呕吐、发热、里急后重、黏液脓血便等,病原菌检测显示主要是志贺菌属,尽早诊断,给与抗炎、调节菌群紊乱、止泻、止痛、止吐、退热等治疗,临床症状和体征明显改善。结论细菌性痢疾好发于夏秋季,好发于青年及中老年以上人群,主要表现为腹泻、腹痛等,提高临床医师对细菌性痢疾的流行特征及临床特点的认识,可提高治疗效果,同时建议疾控部门加强对细菌性痢疾的防控,以减少细菌性痢疾的发病。
Objective To analyze the epidemiological and clinical features of 215 patients with bacterial dysentery in a hospital infection department to guide clinical diagnosis and treatment. Methods The epidemiological data and clinical data of 215 patients with bacillary dysentery were retrospectively analyzed. Results Bacillary dysentery occurred in summer and autumn, with 204 cases from April to October, accounting for 94.88% of the total. The incidence of bacterial dysentery was 21 to 30 years old, 31 to 40 years old, 51 to 60 years old and> 60 years old The age of 4 years, a total of 181 cases, accounting for 84.19%; mainly for diarrhea, abdominal pain, nausea, vomiting, fever, tenesmus, mucus and blood pus and so on, pathogenic bacteria test showed mainly Shigella, early diagnosis, given anti-inflammatory , Regulation of flora disorders, antidiarrheal, analgesic, antiemetic, antipyretic and other treatment, clinical symptoms and signs improved significantly. Conclusions Bacillary dysentery occurs in summer and autumn, and occurs in young and middle-aged and elderly people. It mainly includes diarrhea, abdominal pain and so on. It can improve the clinician’s understanding of the epidemic characteristics and clinical features of bacterial dysentery, Proposed disease control department to strengthen the prevention and control of bacterial dysentery in order to reduce the incidence of bacterial dysentery.