某高校医院发热学生临床资料分析及“乙类乙管”后高校疫情防控操作模式

王晓艳  李旭华  陈小芳

（浙江师范大学医院，浙江  金华  321004）

【摘    要】目的：分析新冠病毒感染管控期间高校医院发热学生临床特征，以及探讨“乙类乙管”后具有高校医院特色的疫情防控操作模式，为高校精准管控、明确诊断及治疗提供科学依据。方法：取 2021 年 3 月 ~2022 年 10 月因发热入住观察点的 1056 名患者为研究对象，对患者的性别、年龄、发热程度、病因及检验结果进行统计分析。结果：在发热患者中女性（60.51%）高于男性（39.49%）；年龄主要集中在 19~20 岁（38.07%）之间；体温以中低热度（89.68%）为主；分析发现性别与体温热度无明显相关性（P 值均 >0.05）；在检验结果中，绝大部分患者存在炎性指标异常（94.59%）的情况；发热主要集中在每年的 3 月份、9 月份；病因分布以急性上呼吸道感染（70.17%）为首，依次为急性肠胃炎（22.44%）、流感（2.75%）、化脓性扁桃体炎（1.61%）、水痘（1.52%）及其他（1.52%）；患者平均发热天数为 1.4 天，平均留观天数为 5.18 天；采用线性回归分析显示：性别、病因及体温热度与发热天数密切相关（β 值分别为：0.17，0.047，0.39，P值均 <0.05），与血常规异常与否、有无使用中成药及年龄无明显相关性（P 值均 >0.05）。结论：在新冠病毒感染严控背景下，某高校发热以常见病为主，合理开展炎症相关指标检测，有助于疾病的精准诊疗。在“乙类乙管”后，高校医院应结合实际情况，扩充资源、充实力量、提高对新冠应对能力，走具有自身特色的疫情防控模式。

【关键词】发热；新型冠状病毒感染；疫情防控；乙类乙管

通讯作者：王晓艳

Analysis of Clinical Data of Fever Students in a University Hospital and Operation Mode of COVID-19 Prevention and Control after"Class B Infectious Diseases Adopt Class B Management Measures"

Wang Xiaoyan, Li Xuhua, Chen Xiaofang

(Hospital, Zhejiang Normal University, Jinhua, Zhejiang 321004, China)

Abstract: Objective: To analyze the clinical characteristics of fever students in university hospitals during the period of COVID-19 infection control,and to explore the operation mode of COVID-19 prevention and control with the characteristics after"Class B Infectious Diseases Adopt Class B Management Measures",so as to provide scientific basis for accurate control,clear diagnosis and treatment in universities.Methods 1056 patients who were admitted to the observation point due to fever from March 2021 to October 2022 were taken as the research objects,and the gender,age,fever degree,etiology and test results of the patients were statistically analyzed.Results Among fever patients,female(60.51%)was higher than male(39.49%).The age was mainly between 19 and 20 years old(38.07%).The body temperature was mainly moderate and low fever(89.68%).It was found that there was no obvious correlation between gender and body temperature and heat(P>0.05).In the test results,most patients had abnormal inflammatory indexes(94.59%);Fever was mainly concentrated in March and September every year;Acute upper respiratory tract infection(70.17%)was the leading cause,followed by acute gastroenteritis(22.44%),influenza(2.75%),suppurative to nsillitis(1.61%),varicella(1.52%)and others(1.52%);The average fever days of patients were 1.4 days and the average observation days were 5.18 days.Linear regression analysis showed that gender,etiology,body temperature and fever were closely related to fever days(βvalues were 0.17,0.047,0.39,P values were 0.05).Conclusion Under the background of strict control of COVID-19 infection,fever in a university is mainly a common disease,and reasonable detection of inflammation-related indicators is helpful for accurate diagnosis and treatment of diseases.After"Class B infectious diseases adopt Class B management measures",university hospitals should combine the actual situation,expand resources,enrich strength,improve the ability to cope with COVID-19,and take the COVID-19 prevention and control mode with their own characteristics.

Keywords: Fever;COVID-19 infection;COVID-19 prevention and control;Class B tube Class B infectious diseases adopt Class B management measures

Corresponding author: Wang Xiaoyan