[儿童中 Chikungunya 热病的临床特征分析]
1Department of Pediatrics, Foshan Women and Children Hospital, Foshan 528000, China.
Zhonghua er ke za zhi = Chinese journal of pediatrics
|October 14, 2025
概括
儿童中 Chikungunya 发烧的临床特征因年龄而异. 年龄较小的儿童 (0-3岁) 患高烧和皮疹的情况较多,而年龄较大的儿童 (6-14岁) 则报告更多的关节疼痛. 所有被检查的儿童都显示出关节溢出.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 奇孔古尼亚热是一种蚊子传播的病毒性疾病,引起发烧和关节疼痛.
- 了解儿童年龄特定的临床表现对于诊断和管理至关重要.
研究的目的:
- 在不同年龄组的儿童中调查奇孔尼亚热的临床特征.
- 根据年龄来比较发烧,皮疹,关节疼痛和实验室异常的发生率.
主要方法:
- 对91名被诊断患有 Chikungunya 发烧的儿童进行了回顾性队列研究.
- 患者分为四个年龄组:0-<1,1-<3,3-<6岁和6-14岁.
- 使用单向ANOVA和千平方试验进行统计分析,以比较临床特征.
主要成果:
- 发烧 (96%) 和皮疹 (98%) 是常见的;较小的儿童 (0-3岁) 发烧的发病率和持续时间较高.
- 在年龄较大的儿童 (6-14岁) 中,关节疼痛更为频繁.
- 在0-3岁的年龄组中,AST和LDH水平的升高更为普遍;所有接受过关节超声波检查的儿童都显示出输液.
结论:
- 儿童中 Chikungunya 发烧的临床表现因年龄而异.
- 年龄较小的儿童 (0-3岁) 呈现出更多系统性症状,如高烧和皮疹.
- 年龄较大的儿童 (6-14岁) 出现增加的关节疼痛,关节溢出是超声波上的一致发现.
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