新型冠状病毒肺炎疫情期间普通外科门诊筛查的临床价值

Clinical value of outpatient screening in department of general surgery during the COVID-19 outbreak

    摘要
  • 摘要: 目的:探讨新型冠状病毒肺炎(以下简称新冠肺炎)疫情期间普通外科门诊筛查的临床价值。
    方法:采用回顾性描述性研究方法。收集2020年2月1—26日华中科技大学同济医学院附属协和医院收治的57例外科门诊或急诊就诊患者的临床资料；男30例，女27例；年龄为(53±16)岁，年龄范围为 17～87岁。57例患者均行普通外科门诊筛查评分，总分≥3分为高危，<3分为低危。观察指标：(1)患者临床资料。(2)患者新冠肺炎筛查评分情况。正态分布的计量资料以±s表示，组间比较采用t检验。偏态分布的计量资料以M(IQR)表示，组间比较采用秩和检验。计数资料以绝对数表示，组间比较采用x2检验。
    结果:(1)患者临床资料：57例患者中，26例新冠肺炎确诊或疑似患者男、女分别为12、14例，年龄为(57±16)岁；31例非新冠肺炎患者男、女分别为18、13例，年龄为(50±16)岁，两者上述指标比较，差异均无统计学意义(x2=0.805，t=-1.646，P>0.05)。(2)患者新冠肺炎筛查评分情况：57例患者中，26例新冠肺炎确诊或疑似患者新冠肺炎筛查评分为3.0分(4.0分)，31例非新冠肺炎患者新冠肺炎筛查评分为1.0分(1.0分)，两者比较，差异有统计学意义(Z=-3.695，P<0.05)。26例新冠肺炎确诊或疑似患者新冠肺炎筛查为高危、低危例数分别为17、9例，31例非新冠肺炎患者新冠肺炎筛查为高危、低危例数分别为3、28例，两者比较，差异有统计学意义(x2=19.266，P<0.05)。
    结论:新冠肺炎疫情期间普通外科门诊筛查可有效筛查新冠肺炎高危患者。

     

    Abstract: Objective:To investigate the clinical value of outpatient screening in department of general surgery during the Corona Virus Disease 2019 (COVID-19) outbreak.
    Methods:The retrospective and descriptive study was conducted. The clinical data of 57 patients who visited surgery clinic and emergency department of Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology between February 1st and 26th in 2020 were collected. There were 30 males and 27 females, aged (53±16)years, with a range from 17 to 87 years. All the 57 patients were measured score of outpatient screening in department of general surgery. The score ≥3 indicated high risk and the score < 3 indicated low risk. Observation indicators: (1) clinical data of patients; (2) score of outpatient screening for COVID-19 of patients. Measurement data with normal distribution were represented as Mean±SD, and comparison between groups was analyzed by the t test. Measurement data with skewed distribution were described as M (IQR), and comparison between groups was analyzed by the rank sum test. Count data were described as absolute numbers, and comparison between groups was analyzed using the chi-square test.
    Results:(1) Clinical data of patients: of the 57 patients, there were 12 males and 14 females of the 26 confirmed or suspected cases, versus 18 males and 13 females of the 31 non-infection cases, showing no significant difference between the two groups (x2=0.805, P>0.05). The 26 confirmed or suspected cases of COVID-19 had an age of (57±16)years, and 31 non-infection cases had an age of (50±16) years, with no significant difference between the two groups (t=-1.646, P>0.05). (2) Score of outpatient screening for COVID-19 of patients: the score of outpatient screening for COVID-19 of the 26 confirmed or suspected cases was 3.0(4.0), versus 1.0(1.0) of the 31 non-infection cases, showing a significant difference between the two groups (Z=-3.695, P<0.05). There were 17 and 9 of the 26 confirmed or suspected cases with high risks and low risks, respectively, versus 3 and 28 of the 31 non-infection cases, with a significant difference between the two groups (x2=19.266, P<0.05).
    Conclusion:During the COVID-19 outbreak, outpatient screening in department of general surgery can effectively screen out high-risk patients.

     

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