摘要
目的 分析发热门诊患者就诊人数及呼吸道病原体变化趋势,为合理安排发热门诊医疗资源分配提供依据.方法 收集并分析北京某三甲中医院2023年1月至2023年12月发热门诊患者相关信息.对就诊人数、年龄分布及感染情况进行描述性分析.结果 2023年1月至2023年12月北京某三甲中医院发热门诊共就诊16707人次.其中男性7498人次,女性9209人次.女性患者高于男性患者.20岁以下患者1156人次,21～40岁区间患者8495人次,41～60岁区间患者3801人次,61岁以上患者3255人次.21～40岁患者为主要感染人群.就诊高峰季节为3月;次高峰为11月、12月.甲型流感病毒抗原检测阳性率11％,乙型流感病毒抗原检测阳性率9％.甲型流感病毒核酸检测阳性率24.4％,乙型流感病毒核酸检测阳性率7.8％.肺炎支原体IgM检测阳性率11％.结论 北京某三甲中医院发热门诊患者就诊高峰阶段为春季3月、冬季11月、12月.以甲型流感病毒,乙型流感病毒及肺炎支原体为主要感染源,21～40岁患者为主要易感人群.因此应在此时段增加医疗资源分配比重,保护易感人群.
Abstract
Objective To analyze the change trend of the number of patients in fever Outpatient Department and respiratory pathogens,and to further provide reference basis for rational allocation of medical resources in fever Outpatient Department.Methods The relevant information of fever out-patients from January,2023 to December,2023 was collected and analyzed in a third-grade Traditional Chinese Medicine Hospital in Beijing.The number of patients,age distribution and infection status were analyzed descriptively.Results From January,2023 to December,2023,a total of 16 707 patients were treated in the fever clinic of a third-grade Hospital of Traditional Chinese Medicine in Beijing.Among them,7498 were males and 9209 were females.Female patients were more than male patients.There were 1156 patients under 20 years old,8495 patients between 21 and 40 years old,3 801 patients between 41 and 60 years old,and 3255 patients over 61 years old.Patients between 21 and 40 years old were the main infected group.The peak season was March in spring;The second peak was in November and December.The positive rate of influenza A virus antigen detection was 11％,and the positive rate of influenza B virus antigen detection was 9％.Influenza A virus nucleic acid detection positive rate was 24.4％,while influenza B virus nucleic acid detection positive rate was 7.8％.Mycoplasma pneumoniae IgM positive rate was 11％.Conclusion The peak period of fever clinic patients in a third-class hospital of Traditional Chinese Medicine in Beijing is March in spring,as well as November and December in winter.Influenza A virus,influenza B virus and Mycoplasma pneumoniae are the main infection sources,and patients aged 21-40 years are the main susceptible population.Therefore,the proportion of medical resources allocation should be increased during these periods to protect the susceptible population.
基金项目
国家中医药管理局深化医改中医药政策研究课题(YGZXKT2024023)
NETL
NSTL
万方数据