Analysis of clinical characteristics of 442 measles cases
10.3969/j.issn.1006-2483.2026.02.010
- VernacularTitle:442例麻疹病例临床特征分析
- Author:
Shiheng CUI
1
;
Xiaomeng XU
1
;
Wei WANG
1
;
Yafei WANG
1
;
Li SUN
1
;
Yanli CONG
1
;
Jinghui WANG
1
Author Information
1. Hebei Provincal Center for Disease Control and Prevention , Shijiazhuang, Hebei 050021, China
- Publication Type:Journal Article
- Keywords:
Measles;
Clinical characteristics;
Rash;
Koplik's spots;
Immunization history
- From:
Journal of Public Health and Preventive Medicine
2026;37(2):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics of measles cases in the measles elimination stage and to provide a scientific basis for the prevention, control, diagnosis and treatment of measles. Methods The descriptive epidemiological method was used to analyze the clinical characteristics of 442 confirmed measles cases in Hebei Province from 2018 to 2020. Results Among the 442 measles cases, the main symptoms were rash (96.61%), fever (90.50%), cough (56.11%), and Koplik spots (30.09%). Complications were mainly pneumonia (12.22%). There were significant differences in symptoms among different age groups (P < 0.05). The incidence of symptoms in children under 5 years old (except cough) was higher than that in other age groups. Immunization history had no significant impact on the symptoms of fever and rash (P > 0.05), but the incidence of symptoms such as cough, conjunctivitis, Koplik's spots and catarrhal rhinitis in the immunized group was lower than that in the non-immunized group (P < 0.05). The group with an interval of 0 days from fever to rash was the largest, and the proportion of people with an immunization history in the 0-day group (68.06%) was significantly higher than that in the 3-4-day group (49.44%) (P < 0.05). Pneumonia complications were mainly concentrated in children under 5 years old (87.03%), and most of the cases had a 0-dose immunization history (81.48%). Conclusion In the measles elimination stage, the incidence of fever and rash in cases is relatively high, while the incidence of Koplik spots is relatively low. The symptoms are more obvious in the younger age group. Vaccination can reduce the incidence of specific symptoms. The change in the time of rash appearance suggests that the diagnosis and treatment plan need to be adjusted. This study provides key data support for the formulation of measles prevention, control and treatment strategies.
