Objective To investigate clinical characteristics,treatment method and prognosis of chikungunya fever.Methods 133 cases of chikungunya fever in Dongguan City from September to November 2010 were selected in this study,all patients were followed up for 3 years;analyzed their clinical characteristics,treatment method and prognosis.Results Common clinical symptoms of chikungunya fever were fever,rash and arthralgia,with the occurrence rate of 100.00％,91.72％ and 90.98％;arthralgia in knee,ankle and elbow joint were common,with the incidence of 69.92％,64.66％ and 48.87％;the rate of arthralgia in female patients was higher than that in male patients,the rate of arthralgia in patients aged above 15 years old was higher;arthralgia mostly disappeared within 1 year,arthralgia of part of patients disappeared within 2-3 years,arthralgia of few patients did not disappear after 3 years.Conclusions Clinical symptoms of chikungunya fever were mainly fever,rash and arthralgia,arthralgia affected by age and other factors,arthralgia basically disappeared within 1 year after treatment,symptomatic and supportive treatment for chikungunya fever had significant treatment effect.%目的 探讨基孔肯雅热临床特点及治疗与转归.方法 选取2010年9月至2010年11月东莞市诊治的133例基孔肯雅热患者为研究对象,所有患者行3年随访,分析其临床特征及治疗与预后.结果 基孔肯雅热病常见临床症状为发热、皮疹及关节疼痛,发生率分别为100.00％、91.72％和90.98％;关节疼痛中膝关节、脚踝及肘部关节受累较多,发生率分别为69.92％、64.66％和48.87％;关节疼痛女性明显多于男性,15岁以上患者易发生关节疼痛;关节疼痛症状在1年内基本消失,部分患者在2年甚至3年内消失,个别患者在3年后仍未消失.结论 基孔肯雅热病主要以发热、皮疹及关节痛为主要临床表现,关节疼痛受年龄等因素影响,治疗后1年患者内关节疼痛基本可消失,对症、支持治疗对基孔肯雅热有显著治疗效果.
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