麻疹并发症：其管理在降低麻疹所致死亡率方面的重要性。
Measles complications: the importance of their management in reducing mortality attributed to measles.
作者信息
Marufu T, Siziya S, Murugasampillay S, Mason E, Manyame B, Tshimanga M
机构信息
Department of Community Medicine, University of Zimbabwe Medical School, Avondale, Harare, Zimbabwe.
出版信息
Cent Afr J Med. 1997 Jun;43(6):162-5.
OBJECTIVE
To determine the effect of rates of complications among cases and management of complicated cases on measles case fatality rates.
DESIGN
Measles disease surveillance.
SETTING
City of Gweru, Department of Health.
SUBJECTS
Children aged zero to 15 years.
MAIN OUTCOME MEASURES
Case fatality rates.
RESULTS
Measles case fatality rates declined from 47.6 in 1967 to zero in 1989. Between 1967 and 1978 respiratory infections were the predominant complications (66.5%), while after 1979 diarrhoea was the predominant complications (60.6%). A significant partial correlation coefficient was observed between rates of mortality among complicated cases and case fatality rates (r = 0.89, df = 20, p < 0.001).
CONCLUSION
Good management of complicated cases may have contributed towards the decline in measles case fatality rates.
目的
确定麻疹病例并发症发生率及复杂病例的管理对麻疹病死率的影响。
设计
麻疹疾病监测。
地点
圭鲁市卫生部。
研究对象
0至15岁儿童。
主要观察指标
病死率。
结果
麻疹病死率从1967年的47.6降至1989年的零。1967年至1978年间，呼吸道感染是主要并发症（66.5%），而1979年后腹泻是主要并发症（60.6%）。复杂病例的死亡率与病死率之间存在显著的偏相关系数（r = 0.89，自由度 = 20，p < 0.001）。
结论
对复杂病例的良好管理可能有助于麻疹病死率的下降。
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