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中国人民解放军总医院
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中国人民解放军总医院老年心血管病研究所
中国科技出版传媒股份有限公司
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中华老年多器官疾病杂志编辑委员会
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E-mail: zhlndqg@mode301.cn
创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
友情链接
李兴超,张文雯,李巾魁,安森玲,相然,张蒙蒙,张金岭.山东省新型冠状病毒肺炎老年病例的流行病学特征[J].中华老年多器官疾病杂志,2020,19(3):191~194
山东省新型冠状病毒肺炎老年病例的流行病学特征
Epidemiological characteristics of coronavirus disease 2019 in the elderly in Shandong Province
投稿时间:2020-02-25  
DOI:10.11915/j.issn.1671-5403.2020.03.043
中文关键词:  老年人;新型冠状病毒;流行病学;山东省
英文关键词:aged; 2019 novel coronavirus; epidemiology; Shandong province This work was supported by Natural Science Foundation of Shandong Province
基金项目:山东省自然科学基金(20140511)
作者单位E-mail
李兴超 临沂市人民医院科研科,临沂 276002 jinlingzhang_931@163.comepidemiological 
张文雯 莒县人民医院血液内科,日照 276500 jinlingzhang_931@163.comepidemiological 
李巾魁 兰山区人民医院内科,临沂 276002 jinlingzhang_931@163.comepidemiological 
安森玲 济宁市妇幼保健院保健科,济宁 272000 jinlingzhang_931@163.comepidemiological 
相然 临沂市人民医院科研科,临沂 276002 jinlingzhang_931@163.comepidemiological 
张蒙蒙 临沂市人民医院科研科,临沂 276002 jinlingzhang_931@163.comepidemiological 
张金岭 临沂市人民医院科研科,临沂 276002 jinlingzhang_931@163.comepidemiological 
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中文摘要:
      目的 初步分析山东省新型冠状病毒肺炎(COVID-19)老年病例的流行病学特征,为制定相应的疾病防控措施和对策提供理论依据。方法 对2020年1月22日0:00时至2月16日24:00时山东省及省内各地市卫生健康委员会官方公示的关于新型冠状病毒(2019-nCoV)疫情信息数据库进行分析,初步探讨该病老年病例在山东省的流行病学特征。采用SPSS 20.0进行统计分析。结果 纳入人群年龄(68.6±8.2)岁。截至2020年2月16日24:00时,山东省确诊老年病例95例,发病率为0.430/10万,治愈率为6.32%,病死率为2.11%。发病高峰是1月30日至2月9日。青岛病例最多(13例,13.68%),日照市病例最少(1例,1.05%),省内不同地区的老年发病率比较,差异有统计学意义(χ2=86.370,P<0.05)。60~69岁组、70~79岁组、80~89岁组、≥90岁组COVID-19发病率分别为0.463/10万、0.386/10万、0.041/10万、0.415/10万,差异亦有统计学意义(χ2=27.628,P<0.05)。COVID-19病例女多男少,男、女性别比为0.7∶1.0,但发病率比较差异无统计学意义(0.379/10万和0.501/10万,χ2=0.813,P>0.05)。此外,不同合并症数目的老年COVID-19发病率亦存在显著差异(F=82.557,P<0.05)。患者聚集性发病特征明显,占比为67.37%(64/95)。平均潜伏期为6.3d。结论 山东省2019-nCoV老年人发病处于相对较低水平,2020年1月22日出现首例后,发病高峰集中在1月30日至2月9日,2月10日起发病人数逐渐减少。病例男少女多,呈现聚集性发病特点,接下来应对本地人际传播防控工作进行重点安排。
英文摘要:
      Objective To primarily analyze the epidemiological characteristics of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), provisionally named 2019 novel coronavirus (2019-nCoV) in the elderly in Shandong province, in order to provide theoretical basis for formulating control measures and countermeasures of the disease. Methods The epidemic data published by the authorities of public health committee of Shandong Province and its cities during January 22th to February 16th were collected and primarily analyzed in order to investigate the epidemiological characteristics of the disease in the elderly. Statistical analysis was performed using SPSS statistics 20.0. Results The average age of the enrolled cases were (68.59±8.21) years. The infected elderly cases had reached 95 till 24:00 in Shandong province on February 16,2020. The incidence rate of COVID-19 was 0.65/0.1 million, cure rate 6.32%, and mortality rate 2.11% in the elderly. The peak incidence was from January 30th to February 9th. Qingdao had the most cases (13 cases, 13.68%), and Rizhao had the least (1 case, 1.05%). Significant differences were observed in the incidence among the different regions of Shandong Province (χ2=86.370, P<0.05). The incidence rates for the patients in the 60~69,70~79,80~89 and ≥90 years old groups were 0.463/0.1 million, 0.386/0.1 million, 0.041/0.1 million, and 0.415/0.1 million, respectively, with obvious differences among them (χ2=27.628, P<0.05). There were more female than male cases, and the ratio of male to female was 0.7∶1.0, but no statistical difference was seen between the genders (0.379/0.1 million vs 0.501/0.1 million, χ2=0.813, P>0.05). What's more, there were obvious differences in the incidence among the patients with different number of comorbidities (F=82.557, P<0.05). Cluster of cases were quite obvious, and they accounted for 67.37% (64/95). The mean incubation period of the disease was 6.3 d. Conclusion The incidence of COVID-19 for the elderly in Shandong Province is relatively low. Since the first case was found in January 22th, the peak incidence had been concentrated from January 30th to February 9 th, and the incidence has decreased gradually since February 10th. There are more females and fewer males in the infected, with the characteristics of clustering. Next, we should focus on the prevention and control of local interpersonal communication.
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