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目的观察重症新型甲型H1N1流感患者、危症新型甲型H1N1流感患者、孕产妇新型甲型H1N1流感患者的临床特征。方法将2009年11月～2009年12月确诊的98例新型甲型H1N1流感患者,分为重症新型甲型H1N1流感组、危症新型甲型H1N1流感组以及孕产妇新型甲型H1N1流感组,分别记录各组患者年龄、性别、总住院天数、病毒转阴时间、患者发病时的最高体温、体温恢复正常时间、血常规等项目数据并进行相关比较。结果 3组患者年龄比较差别无统计学意义(P>0.05);在总住院天数中,重症新型甲型H1N1流感组较孕产妇新型甲型H1N1流感组比较差别有统计学意义(P<0.05);危症新型甲型H1N1流感组较孕产妇新型甲型H1N1流感组比较差别有统计学意义(P<0.05);从发病到病毒转阴时间,无论重症新型甲型H1N1流感组、危症新型甲型H1N1流感组、孕产妇新型甲型H1N1流感组中,两两比较,均P>0.05。在体温下降方面,重症新型甲型H1N1流感组经治疗后体温恢复正常时间较危症新型甲型H1N1流感组、孕产妇新型甲型H1N1流感组有统计学意义(P<0.05),而危症新型甲型H1N1流感组较孕产妇新型甲型H1N1流感组差异无统计学意义(P>0.05)。在血象白细胞方面,重症新型甲型H1N1流感组治疗前后差异有统计学意义(P<0.05)。结论在病毒转阴时间方面,重症新型甲型H1N1流感组经治疗后体温恢复正常时间较危症新型甲型H1N1流感组、孕产妇新型甲型H1N1流感组均无明显差异。重症新型甲型H1N1流感组在体温下降等方面优于其他各组,孕产妇新型甲型H1N1流感患者应高度重视。
Objective To observe the clinical features of patients with severe new type A (H1N1) flu, new type A (H1N1) flu patients and pregnant women with new type A (H1N1) flu. Methods A total of 98 cases of new type A (H1N1) influenza patients diagnosed from November 2009 to December 2009 were divided into severe new type A (H1N1), new type A (H1N1) flu and new type A (H1N1) Record the age, gender, total days of hospitalization, the time of virus negative conversion, the highest body temperature at the time of onset, the normal time of body temperature recovery, blood routine and other items data of the patients in each group and compare them. Results There was no significant difference in age between the three groups (P> 0.05). In the total number of hospital days, the difference was statistically significant (P <0.05) between the severe new type A H1N1 flu group and the new type A H1N1 flu group, ; The new type A H1N1 flu group than the new type of influenza A H1N1 influenza group pregnant women, the difference was statistically significant (P <0.05); from the onset of the virus to the negative time, regardless of severe new influenza A H1N1 influenza group, a new type of crisis Influenza A H1N1 influenza group, pregnant women new type A H1N1 influenza group, any pairwise comparison, all P> 0.05. In terms of the decrease of body temperature, the recovery time of body temperature in severe new type A (H1N1) group was significantly higher than that of the new type A (H1N1) group and pregnant women with new type A (H1N1) flu group (P <0.05) There was no significant difference between the new type A H1N1 flu group and the new type A H1N1 flu group of pregnant women (P> 0.05). In blood leucocytes, the severe new type A H1N1 flu group before and after treatment was statistically significant (P <0.05). Conclusion In terms of virus-negative time, the recovery time of body temperature in Severe New Type A (H1N1) Influenza Group was not significantly different from that of New Type A H1N1 Influenza Group and New Type A H1N1 Flu Group. Severe new type A (H1N1) flu group was better than the other groups in lowering the body temperature and so on. New pregnant women should take the new type A (H1N1) flu seriously.