目的 调查北京天坛医院发热患者的就诊情况,为发热门诊合理诊疗提供参考依据。方法 以北京天坛医院2017年1—2月发热门诊的1288例就诊患者为研究对象,采用登记汇总统计分析的调查方式。分别对就诊患者的性别、年龄、发热程度、发热时间、病因等进行统计分析。结果 发热门诊患者男性多于女性;发热程度以中等程度发热为主,占发热总数的78.8%,中等发热组与其他发热组相比,差异有统计学意义(P<0.01);病因主要为呼吸系统感染,占病因总数的67.2%,急性呼吸系统感染组与其他病因组相比,差异有统计学意义(P<0.01);年龄主要分布于50～60岁,占发热的36.6%,50～60岁组与其他年龄组相比,差异有统计学意义(P<0.05);就诊时间以间隔12～24 h者为主,占46.8%,12～24 h组与其他就诊时间组相比,差异有统计学意义(P<0.05)。结论 发热门诊在发热患者诊疗过程中发挥着重要的作用,发热患者的患病特点呈一定分布规律。

Objective To investigate the clinical treatment of fever patients in Beijing Tiantan Hospital and provide reference for rational diagnosis and treatment of fever patients.Methods A total of 1288 cases of fever patients treated in Beijing Tiantan Hospital between January 2017 and February 2017 were selected as subjects, and the survey method of summary statistics was used. Information about the gender, age, severity of fever, duration of fever and etiology of these patients was statistically analyzed.Results There were more male outpatients of fever than female ones. Most cases of fever were moderate, accounting for 78.8% of the total. There was statistically significant difference between the moderate fever group and other fever groups (P<0.01).The main cause was respiratory infections, accounting for 67.2% of the total. There was statistically significant difference between the acute respiratory infection group and other cause groups (P<0.01). The age of most of these patients ranged from 50 and 60 years old, accounting for 36.6% of the total. There was statistically significant difference between the 50-60-year-old group and other age groups (P<0.05).The patients received treatment mostly after an interval of 12 to 24 hours, accounting for 46.8%.Conclusions The fever clinic plays an important role in the diagnosis and treatment of fever patients, and the distribution of fever patients is somewhat regular.