首页|新冠肺炎疫情前后临沂市儿童肠套叠的流行趋势变化

新冠肺炎疫情前后临沂市儿童肠套叠的流行趋势变化

扫码查看
目的 了解新冠肺炎流行前后儿童肠套叠的发病及临床特点,为儿童肠套叠的防治提供参考.方法 收集 14 岁以下儿童肠套叠的病历资料,回顾性分析年发病率,比较疫情前后的趋势变化.结果 共纳入 1815 例患儿,男 1271 例(70.03%),女 544 例(29.97%),2017~2021 年的发病率分别为18.32/10 万、14.96/10 万、12.17/10 万、10.78/10 万、12.63/10 万.2020 年发病率最低,无季节性变化趋势,2021 年发病率及季节性恢复.流行前(2017、2018、2019 年)和流行中(2020、2021 年)的发病率比较差异有统计学意义(χ2=11.254,P=0.001<0.05),两期患儿的性别无差异(P=0.585>0.05),流行期的患儿年龄大于流行前的年龄(P<0.001).流行前和流行中的男性患儿的年发病率比较差异有统计学意义(χ2=10.353,P=0.001<0.05),女性患儿的年发病率无统计学意义(χ2=2.141,P=0.150>0.05).结论 病毒感染是原发性儿童肠套叠的主要原因之一,新冠肺炎疫情期间儿童肠套叠的发病率明显下降,其中男性儿童发病率下降明显,月份分布与疫情前不同,可能与保持社交距离、戴口罩、手卫生等防控措施导致其他病毒感染下降相关.
Epidemiological characteristics of pediatric intussusception before and after the COVID-19 outbreak in Linyi City
Objective To analyze the epidemiological characteristics of pediatric intussusception before and after the COVID-19 outbreak,so as to provide the scientific reference for prevention and treatment intussusception.Methods Medical records of children<14 years of age with intussusception were collected,and annual incidence rates were analyzed retrospectively to compare changes in trends before and after the outbreak.Results A total of 1815 children were included,with 1271 males(70.03%)and 544 females(29.97%),the incidence rates in 2017-2021 were 18.32/100 000,14.96/100 000,12.17/100 000,10.78/100 000,and 12.63/100 000,respectively.The incidence rate was the lowest in 2020,and no seasonal varies,but in 2021,the incidence rate and seasonality recovered.There was a significant difference of the incidence rate before(2017,2018,2019)and during(2020,2021)the COVID-19 outbreak(χ2=11.254,P=0.001<0.05).There was no difference in gender between the two stages(P=0.585>0.05),but the age of children after the COVID-19 outbreak was older than before the COVID-19 outbreak(P<0.001).There was a significant difference of the incidence rate of male patients before and during the outbreak(χ2=10.353,P=0.001<0.05),but no significant difference in female patients(χ2=2.141,P=0.150>0.05).Conclusion Viral infection is one of main causes of pediatric intussusception,and the incidence of pediatric intussusception declined significantly during COVID-19 outbreak,with a marked decline in male children and a different distribution of months from those before outbreak,which may be associated with a decline in other viral infections due to precautionary and control measures such as maintaining a social distance,wearing masks,and hand hygiene.

IntussusceptionIncidence rateCOVID-19Epidemiology

张荣鹏、姜良富、毛兴允、崔正民、刘宇

展开 >

276000 山东省临沂市人民医院小儿外科

肠套叠 发病率 新冠肺炎 流行病学

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
  • 16