Analysis of relationship between clinical parameters related to acute bacterial dysentery and other infectious diarrhea in adults

D. Tian, W. Qi, X. Lai, Yunchao Li
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Abstract

Objective To investigate the relationship between clinical parameters related to acute bacterial dysentery and other infectious diarrhea in adults. Methods From April to October 2018, 70 patients with clinical diagnosis of acute bacterial dysentery, 180 patients with clinical diagnosis of infectious diarrhea and 399 patients with diarrhea to be examined were investigated retrospectively. The collected data included gender, age, time from onset to treatment, maximum body temperature, main symptoms, epidemiological history, blood routine, C-reactive protein and stool routine. Analysis of these clinical factors related to acute bacterial dysentery and other infectious diarrhea. Results A total of 70 patients with acute bacterial dysentery, 180 patients with other infectious diarrhea and 399 patients with diarrhea of unknown origin were investigated. The positive rate of epidemiology in the three groups was statistically significant (P<0.05); the age of onset of bacterial dysentery was younger than that in patients with diarrhea of unknown origin (P<0.05). Compared with the other two groups of patients, the onset to visit time was earlier, the number of vomiting was higher, the incidence of fever and tenesmus was higher, and the levels of white blood cells, neutrophils and C-reactive protein were significantly increased (P<0.05). Conclusions Patients with acute bacterial dysentery, other infectious diarrhea, and diarrhea of unknown origin have some differences in epidemiological history, age at onset, clinical manifestations, and laboratory tests. Key words: Adult; Bacterial dysentery; Infectious diarrhea
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成人急性细菌性痢疾与其他感染性腹泻临床参数的关系分析
目的探讨成人急性细菌性痢疾与其他感染性腹泻相关临床参数的关系。方法对2018年4 - 10月临床诊断为急性细菌性痢疾的70例患者、临床诊断为感染性腹泻的180例患者和399例待检腹泻患者进行回顾性调查。收集的资料包括性别、年龄、发病至治疗时间、最高体温、主要症状、流行病学史、血常规、c反应蛋白、大便常规。分析这些临床因素与急性细菌性痢疾及其他感染性腹泻的关系。结果共调查急性细菌性痢疾70例,其他感染性腹泻180例,不明原因腹泻399例。三组患者流行病学阳性率比较,差异均有统计学意义(P<0.05);细菌性痢疾的发病年龄明显小于不明原因腹泻的发病年龄(P<0.05)。与其他两组患者相比,起诊时间更早,呕吐次数更高,发热、尿急发生率更高,白细胞、中性粒细胞、c反应蛋白水平显著升高(P<0.05)。结论急性细菌性痢疾与其他感染性腹泻、原因不明腹泻患者在流行病学史、发病年龄、临床表现、实验室检查等方面存在一定差异。关键词:成人;细菌性痢疾;感染性腹泻
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中国医师杂志
中国医师杂志 Medicine-Medicine (all)
CiteScore
0.10
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0.00%
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20937
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