海南省2012-2013年狂犬病暴露人群流行病學(xué)調(diào)查分析
發(fā)布時間:2018-02-14 17:41
本文關(guān)鍵詞: 狂犬病 暴露人群 流行病學(xué)特征 出處:《中國衛(wèi)生統(tǒng)計》2015年04期 論文類型:期刊論文
【摘要】:目的分析海南省2012-2013年狂犬病暴露人群流行病學(xué)特征及暴露后預(yù)防處置狀況,為狂犬病預(yù)防控制工作提供依據(jù)。方法采用描述流行病學(xué)方法進行現(xiàn)場調(diào)查和統(tǒng)計分析。結(jié)果暴露人群流行病學(xué)特征顯示:狂犬病暴露率與發(fā)病率之間呈現(xiàn)正相關(guān)變化趨勢(r=0.77,P0.01);暴露人群男性多于女性;職業(yè)以務(wù)農(nóng)人群居多,占28.55%;年齡以0~15歲組居多,占26.34%,其次是30~45歲組,占22.23%。時間分布上,圍繞月平均暴露率窄幅波動,波動范圍不大,7-9月較高于月平均暴露率,12月至次年1-2月較低于月平均暴露率;地區(qū)分布不平衡,保亭縣、三亞市、陵水縣暴露率相對較高。人群暴露及預(yù)防處置結(jié)果顯示:傷人動物種類以犬傷為主,占66.60%,其次鼠傷,占17.31%;傷人動物來源以自家養(yǎng)動物為主,占48.41%;致傷部位以下肢、手部、腳部居多,共占84.49%;傷害程度以Ⅱ、Ⅲ級傷勢為主,共占96.20%;暴露后能夠經(jīng)過門診處理者居多,占65.14%;能夠進行全程接種疫苗者居多,占70.87%。結(jié)論針對海南省2012-2013年狂犬病暴露人群流行病學(xué)特征及暴露后預(yù)防處置現(xiàn)狀,應(yīng)采取相應(yīng)預(yù)防控制措施,降低狂犬病的發(fā)病率。
[Abstract]:Objective to analyze the epidemiological characteristics of the population exposed to rabies in Hainan Province in 2012-2013 and the situation of prevention and treatment after exposure. Methods the method of descriptive epidemiology was used to conduct field investigation and statistical analysis. Results Epidemiological characteristics of exposed population showed that the relationship between rabies exposure rate and incidence was positive. The trend of change was 0.77% (P 0.01), and the number of exposed population was more than that of female. Most of them were engaged in agriculture (28.55%), the age group was 0 ~ 15 years old (26.34%), the next was 30 ~ 45 years old group (22.23%). In time distribution, the average monthly exposure rate fluctuated in a narrow range. The range of fluctuation is not big in July-September and lower than the average monthly exposure rate in July-September, from December to January and February of the following year; the regional distribution is unbalanced, Baoting County, Sanya City, The results of crowd exposure and prevention and treatment showed that dog injury was the main species of injury, followed by mouse injury (17.31%), the source of injury was mainly home-bred animals (48.41%), and the injured parts were lower limbs and hands. The majority of the patients were foot (84.49%); the degree of injury was mainly grade 鈪,
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