上呼吸道感染患者临床发病因素及其腺病毒水平

张春燕1 ，党震2

（1.延安市吴起县人民医院，陕西 延安，717600；2.泾阳县医院，陕西 咸阳，713700）

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摘要：

目的 探讨上呼吸道感染的患者的临床发病因素及其腺病毒水平。方法 对2014年1月至2016年1月在我院接受治疗的100例急性上呼吸道感染患者的临床资料进行回顾性分析，分析上呼吸道感染患者的发病原因、季节、证型与体质，比较治疗 前、后患者的血清腺病毒水平。结果 患者的发病与饮食异常、与呼吸道感染患者接触及气候环境波动有关，气候环境波动占比最高。秋季和冬季是上呼吸道感染的高发季节；患者发病体质中，平和质占比最高；证型中占比最高的是风热证型。秋季和冬季是风寒证的高发季节，风热证在夏季占比最低，痰湿证和血瘀证的高发季节是冬季。治疗后患者的血清腺病毒水平明显低于治疗前患者的血清腺病毒水平（P<0.05）。结论 发病季节、环境和证型都能够影响急性上呼吸道感染的发生，需根据外界环境的改变，及时采取相应的预防措施，避免产生大范围的传染。

关键词：上呼吸道感染；发病相关因素；腺病毒水平；证型；体质

中图分类号：R472文献标志码：A文章编号：2096-1413(2017)28-0091-02

Clinical pathogenic factors and adenovirus level in patients with upper respiratory tract infection
ZHANG Chun-yan 1, DANG Zhen 2
(1. Wuqi County People``s Hospital, Yan``an 717600; 2. Jingyang County Hospital, Xianyang 713700, China)

ABSTRACT: Objective To investigate the clinical pathogenic facto rs and adenovirus level in patients with upper respiratory tract infection. Methods The clinical data of 100 patients with acute upper respiratory tract infection admitted in our hospital from January 2014 to January 2016 were retrospectively analyzed. The pathogenic causes, seasons, syndromes types and pathogenic constitution of the upper respiratory tract infection patients were analyzed, and the adenovirus levels before and after treatment were compared. Results The abnormal diet, contact with respiratory tract infections patients and climate and environment fluctuation were related to the exposure of respiratory tract infections, and the climate and environment fluctuation were the highest. Autumn and winter were the high-occurrence season of upper respiratory tract infection. In different pathogenic constitution, the soft and mild constitution was the highest. In different syndromes types, the wind-heat syndrome was the highest. Autumn and winter were the high-occurrence season of wind-cold syndrome. Wind -heat syndrome occupied the lowest proportion in summer, winter had high incidence of phlegm-dampness syndrome and blood-stasis syndrome. After treatment, the adenovirus level was significantly lower than that of before treatment (P<0.05). Conclusion The incidence of acute upper respiratory tract infection can be affected by seasons, environment and syndromes types. It is necessary to take corresponding preventive measures according to the change of the external environment, so as to avoid wide range of infection.
KEYWORDS: upper respiratory tract infection; pathogenic factors; adenovirus level; syndrome type; constitution

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