409例感染性腹泻患者临床特点分析

摘要

目的 分析感染性腹泻患者的流行病学和临床特征,以指导临床诊治.方法 回顾性分析本院肠道门诊2015年1～12月诊治的409例感染性腹泻患者的流行病学资料和临床资料.结果 感染性腹泻好发于夏秋季,好发于青年及中老年以上人群,主要表现为腹泻、腹痛、恶心呕吐、发热等.病原菌检测显示主要是大肠埃希菌、沙门菌属、副溶血弧菌、志贺菌等致病菌感染.尽早诊断,给予抗炎、调节菌群紊乱、止泻、止痛、止吐、退热等治疗后,临床症状和体征明显改善.结论 提高临床医生对感染性腹泻流行特征及临床特点的认识,可有效地增强防控意识,提高治疗效果,同时建议相关部门加强对感染性腹泻的防控,食品卫生监督部门加强食品卫生的监督管理,以减少感染性腹泻的发生.%Objective Through the 409 cases of infectious diarrhea in patients with epidemiological and clinical characteristics of the analysis to guide our clinical diagnosis and treatment.Method Retrospective analysis of 409 patients with infective diarrhea epidemiological data and clinical data.Result Infectious diarrhea occurs in the summer and autumn,occur in the young and middle-aged and older people,mainly for diarrhea,abdominal pain,nausea,vomiting,fever,etc.,pathogen detection showed mainly Escherichia coli,Salmonella,Vibrio parahaemolyticus Helicobacter and other pathogens infection,as soon as possible diagnosis,to give anti-inflammatory,regulating flora,diarrhea,pain,antiemetic,fever and other treatment,clinical symptoms and signs improved significantly.Conclusion Improve the clinicians on the epidemic characteristics of infectious diarrhea and clinical characteristics of the understanding,can effectively enhance the prevention and control awareness and improve the treatment effect,and suggested that the disease control departments to strengthen the prevention and treatment of infectious diarrhea,the proposed food hygiene supervision departments to strengthen food hygiene Supervision and management to reduce the incidence of infectious diarrhea.