中国血液流变学杂志2024,Vol.33Issue(3) :442-446.DOI:10.3969/j.issn.1009-881X.2024.03.023

轮状病毒肠炎流行特征及与气候因素相关性分析

Epidemic Characteristics of Rotavirus Enteritis and its Correlation with Climatic Factors

杨滔 陆惠钢 樊启红
中国血液流变学杂志2024,Vol.33Issue(3) :442-446.DOI:10.3969/j.issn.1009-881X.2024.03.023

轮状病毒肠炎流行特征及与气候因素相关性分析

Epidemic Characteristics of Rotavirus Enteritis and its Correlation with Climatic Factors

杨滔 1陆惠钢 2樊启红1
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作者信息

  • 1. 长江大学附属第一医院,湖北 荆州 434000
  • 2. 苏州大学附属儿童医院,江苏 苏州 215003
  • 折叠

摘要

目的 分析苏州地区轮状病毒肠炎的流行特征及气候因素对其发病的影响.方法 选取2017年1月—2022年12月在苏州大学附属儿童医院门急诊就诊及住院的140 031 例腹泻患儿为研究对象,采集其粪便标本,采用乳胶法检验轮状病毒抗原,对阳性检测率及确诊轮状病毒肠炎感染患儿的性别、年龄分布特点及其与气候因素的相关性进行统计学分析.结果 A群轮状病毒抗原阳性检出共计42 208 例,总阳性检出率为30.14%.2017-2022年A群轮状病毒阳性检出率比较,差异有统计学意义(χ2=12 358.001,P<0.05).在42 208 例阳性标本中,男女患儿性别之比1.46:1.不同性别患儿A群轮状病毒阳性率比较,差异无统计学意义(χ2=2.974,P>0.05).患儿年龄分布1 d~14 岁,主要集中在5 岁以下儿童,占比96.92%,6 个月~2 岁年龄段为发病年龄的高峰段,占比70.26%.轮状病毒肠炎主要发病季节在秋冬季(10月-次年3月),12月是每年发病的高峰.月平均气温与轮状病毒肠炎病例分布呈负相关(r=-0.263,P=0.025),湿度、雨量、日照,平均风速与轮状病毒肠炎病例分布无显著相关性(P>0.05).结论 苏州地区轮状病毒肠炎主要发生在6 个月~2 岁儿童,男性患儿数量多于女性患儿,但不同性别轮状病毒阳性率比较差异无统计学意义.轮状病毒肠炎发病与气温密切相关.在秋冬季节应重点加强轮状病毒肠炎的监测与防控力度.

Abstract

Objective To analyze the epidemiological characteristics of rotavirus gastroenteritis in the Suzhou area and the impact of climatic factors on its incidence.Methods A total of 140 031 pediatric patients with diarrhea who visited the emergency department or were hospitalized at the Children's Hospital of Soochow University from January 2017 to December 2022 were selected as the study subjects.Fecal samples were collected,and rotavirus antigen was tested using the latex method.Statistical analyses were conducted on the positive detection rate and the characteristics of confirmed rotavirus gastroenteritis cases concerning gender,age distribution,and their correlation with climatic factors.Results 42 208 cases were detected as positive for Group A rotavirus antigen,with an overall positivity rate of 30.14%.The differences in the positivity rates of Group A rotavirus from 2017 to 2022 were statistically significant(χ 2=12 358.001,P<0.05).Among the 42 208 positive samples,the male-to-female ratio was 1.46:1.There was no significant statistical difference in the positivity rates of Group A rotavirus between different genders(χ2=2.974,P>0.05).The age distribution of the patients ranged from 1 day to 14 years,with the majority concentrated in children under 5 years old,accounting for 96.92%,of which the age group of 6 months to 2 years was the peak incidence period,accounting for 70.26%.Rotavirus gastroenteritis mainly occurred in the autumn and winter seasons(from October to March of the following year),with December being the peak month each year.There was a negative correlation between the monthly average temperature and the distribution of rotavirus gastroenteritis cases(r=-0.263,P=0.025),while there was no significant correlation between humidity,rainfall,sunshine,average wind speed,and the distribution of rotavirus gastroenteritis cases(P>0.05).Conclusion Rotavirus gastroenteritis in Suzhou predominantly affects children aged 6 months to 2 years,with a higher number of male patients than female patients,although there is no significant difference in the positive rate of rotavirus between genders.The incidence of rotavirus gastroenteritis is closely related to temperature and mainly occurs in autumn and winter.Therefore,it is crucial to strengthen the monitoring and prevention efforts for rotavirus gastroenteritis during these seasons.

关键词

轮状病毒/儿童/流行/气候因素

Key words

rotavirus/children/epidemiology/climatic factors

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出版年

2024
中国血液流变学杂志
中国生物医学工程学会,苏州大学

中国血液流变学杂志

影响因子:0.391
ISSN:1009-881X
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