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目的了解综合医院门诊腹泻病症候群信息的来源与构成,描述不同腹泻病症候群的分布特征与相互关系;探讨腹泻病症候群数据应用于肠道传染病预警监测的可行性。方法收集监测医院腹泻病相关门(急)诊(肠道门诊、内科、儿科、传染科等)、辅助检查科室(大便常规)急性腹泻病症候群相关资料,分析综合医院门诊病例急性腹泻症候群的分类、来源和时间分布特征,选择与肠道相关传染病有相似趋势的数据,通过相关分析探讨急性腹泻症候群数据应用于肠道传染病预警监测的可行性。结果门诊腹泻病症候群症状信息主要包括稀便(81.88%)、黏液便(8.54%)、水样便(7.73%)、血便(1.85%)。门诊病例症状信息、大便常规检查阳性信息与肠道相关传染病的时间分布趋势类似。对三者进行相关分析,结果显示门诊病例症状信息中的稀便与大便常规检查阳性结果信息和该医院报告的细菌性痢疾有较好的相关性(r=0.690,P﹤0.01;r=0.623,P﹤0.01);大便常规检查阳性结果与细菌性痢疾和其他感染性腹泻病均有较好的相关性(r=0.607,P﹤0.01;r=0.612,P﹤0.01)。结论综合医院门诊的腹泻病症候群信息可应用于肠道传染病预警监测。
Objective To understand the source and constitution of diarrheal disease syndrome information in general hospital and to describe the distribution and interrelation among different diarrheal disease syndromes and to explore the feasibility of applying diarrheal disease syndrome data to the early warning and monitoring of intestinal infectious diseases. Methods The data of acute diarrhea-related diseases in department of general hospital outpatient were collected to monitor the emergency department (gut clinic, internal medicine, pediatrics, infectious diseases, etc.) in the department of diarrhea. , Source and distribution of time, and select the similar trend of intestine-related infectious diseases. Through the correlation analysis, the feasibility of applying acute diarrhea syndrome data to the early warning and monitoring of intestinal infectious diseases was explored. Results Outpatient diarrhea syndrome symptoms mainly include loose stools (81.88%), mucus (8.54%), watery stools (7.73%) and bloody stools (1.85%). Outpatient symptom information, stool routine examination of positive information and intestine-related infectious disease trends in time distribution similar. The correlation analysis of the three showed that there was a good correlation between the information of loose stools and routine stool examination in outpatients and the reported bacterial dysentery (r = 0.690, P <0.01; r = 0.623 , P <0.01). The positive results of routine stool examination showed good correlation with bacillary dysentery and other infectious diarrheas (r = 0.607, P <0.01; r = 0.612, P <0.01). Conclusion The diarrheal disease syndrome information in general hospital can be applied to early warning and monitoring of intestinal infectious diseases.