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目的:了解北京市三级综合性医院肠道门诊就诊患者疾病谱和流行病学特征,重点分析肠道传染病在不同人群中的分布,探索针对重点人群的肠道传染病防治策略。方法:利用国家高技术研究发展计划(“863”计划)资助项目在北京市朝阳区和海淀区2所三级综合性医院(A医院和B医院)设立的腹泻症状监测系统,收集2009年4月1日至10月31日所有就诊患者的病历数据,运用描述性流行病学研究方法对就诊患者的疾病种类和流行病学特征进行分析,描述感染性腹泻占腹泻病的比例,分析不同月份、不同年龄和不同职业人群感染性腹泻比例的变化情况。结果:北京市2所三级综合性医院肠道门诊就诊患者患腹泻病的种类主要有10种,以非传染病占总体比例最高(77.4%),传染病比例最小(8.7%),各种疾病中胃肠炎及肠炎的病例最多,共7565例,占70.2%;就诊人数以夏秋季最多(7～10月),该期间就诊人数为(60.78±16.85)例/日,就诊人数总体存在明显季节性变化,以7和8月占总体比例最大(占41.82%),其他感染性腹泻患者在5月占当月就诊人数比例最高(5.3%),在10月最低(1.1%),细菌性痢疾患者在9月占当月就诊人数比例最高(8.2%),在4月最低(3.8%);就诊患者户籍主要为本市(61.9%),以中青年群体为主(73.9%),职业主要为学生(28.8%);腹泻病在不同年龄中的分布相似,但在不同职业中的分布不尽相同,传染病在18～44岁组中比例(9.2%)以及在餐饮食品从业人员中比例(15.2%)为高。结论:北京市2所三级综合性医院肠道门诊就诊人数以7和8月份最多,就诊疾病主要以非传染病为主,感染性腹泻占一定比例;就诊患者以户籍为本市、中青年人和学生为主。提示夏秋季是肠道传染病的重点防控时间,应将本市的中青年人和学生群体作为肠道传染病防控的重点人群,且应加强肠道门诊的建设,延长开诊时间,做好肠道传染病疫情控制工作。
OBJECTIVE: To understand the disease spectrum and epidemiological characteristics of gout patients in Beijing Grade III general hospital, with emphasis on the distribution of intestinal infectious diseases in different populations and to explore strategies for prevention and treatment of intestinal infectious diseases in key populations. Methods: The diarrhea symptom monitoring system set up by the National Hi-Tech Research and Development Program (“863 ” Program) was set up in 2 tertiary general hospitals (Hospital A and B) in Chaoyang District and Haidian District, Beijing. From April 1 to October 31, 2001, the medical record data of all the patients were analyzed. The descriptive epidemiological methods were used to analyze the types of diseases and epidemiological characteristics of the patients who were treated. The proportion of infectious diarrhea to diarrheal diseases was analyzed and analyzed In different months, different ages and occupational groups, the proportion of infectious diarrhea changes. Results: There were 10 types of diarrheal diseases in the two outpatient clinics in the two tertiary hospitals in Beijing, with the highest proportion of non-communicable diseases (77.4%) and the lowest proportion of infectious diseases (8.7%), The number of cases of gastroenteritis and enteritis was the highest (7565 cases, accounting for 70.2%). The number of visits was the highest in summer and autumn (July to October), and the number of visits was (60.78 ± 16.85) cases / day. The seasonal changes were significant, accounting for the largest proportion (41.82%) in July and August. Other infectious diarrhea accounted for the highest proportion (5.3%) in May and the lowest in October (1.1%). Bacterial Patients with dysentery accounted for the highest proportion (8.2%) in September and the lowest in April (3.8%). Residents registered mainly in this city (61.9%), young and middle-aged people (73.9%), and major occupations (28.8%). The distribution of diarrheal disease was similar at different ages, but the distribution was different in different occupations. The proportion of infectious diseases in the age group of 18-44 (9.2%) and the proportion of employees in catering food (15.2%) is high. Conclusions: The number of visits to enteric clinics in 2 three-level general hospitals in Beijing is the largest in July and August. The main diseases are mainly non-communicable diseases, and infectious diarrhea accounts for a certain proportion. Mainly for people and students. It is suggested that summer and autumn fall is the key prevention and control time of intestinal infectious diseases. Young and middle-aged people in this city and student groups should be regarded as the key population of prevention and control of intestinal infectious diseases. And the construction of intestinal clinics should be strengthened, Do a good job in the control of epidemic situation of intestinal infectious disease.