發(fā)布時間：2018-05-09 16:39

  本文選題：細(xì)菌性痢疾 + 流行病學(xué)��； 參考：《現(xiàn)代預(yù)防醫(yī)學(xué)》2015年01期

【摘要】：目的探討2005-2012年濟(jì)南市細(xì)菌性痢疾(簡稱菌痢)的流行特征,掌握其流行規(guī)律,為進(jìn)一步控制該病流行,及時修改并制定預(yù)防控制措施提供科學(xué)依據(jù)。方法采用描述流行病學(xué)方法,對2005-2012年濟(jì)南市菌痢發(fā)病資料進(jìn)行分析。結(jié)果 2005-2012年濟(jì)南市共報告菌痢發(fā)病11 339例,發(fā)病率呈逐年下降,年均發(fā)病率為22.50/10萬;每年發(fā)病集中在6-9月,發(fā)病高峰期為7-8月,發(fā)病具有明顯的季節(jié)性;年均發(fā)病率自城市中心區(qū)到周邊郊區(qū)逐漸降低,占前三位的是市中區(qū)、天橋區(qū)、槐蔭區(qū),年均發(fā)病率分別為38.69/10萬,37.33/10萬和36.60/10萬,發(fā)病率最低的是章丘、濟(jì)陽,年均發(fā)病率分別為9.71/10萬,8.66/10萬;發(fā)病人群以散居兒童和學(xué)生為主,其次是農(nóng)民;發(fā)病率年齡段以0~,1~,2~為最高;男女發(fā)病率比例為1.29∶1(χ2=22.17,P0.001);大部分為臨床診斷病例,實(shí)驗(yàn)室確診率僅為15%。結(jié)論濟(jì)南市近8年來菌痢發(fā)病率逐年下降,散居兒童、學(xué)生和農(nóng)民為重點(diǎn)防治對象,需提高菌痢的實(shí)驗(yàn)室確診率,以降低菌痢臨床診斷的誤診率,應(yīng)在本病流行季節(jié)加強(qiáng)對重點(diǎn)人群和重點(diǎn)地區(qū)的教育防治工作。
[Abstract]:Objective to investigate the epidemic characteristics of bacillary dysentery (bacillary dysentery) in Ji'nan for 2005-2012 years, to master its epidemic regularity, to provide scientific basis for further control of the epidemic, to modify and formulate prevention and control measures in time. Methods the descriptive epidemiological methods were used to analyze the data of dysentery in Ji'nan City, and the results were 2005-2012. The incidence of bacillary dysentery was reported in 11339 cases in Ji'nan. The incidence rate was declining year by year and the average annual incidence was 22.50/10 million. The incidence of the disease was 6-9 months, the peak period was 7-8 months, the incidence was seasonal; the average annual incidence rate decreased gradually from the central district to the surrounding suburb, and the top three were in the middle of the city, the Tianqiao District, the Huaiyin area and the annual average. The incidence of the disease was 38.69/10 million and 37.33/10 Vanward 36.60/10 million respectively. The incidence was the lowest in Zhangqiu and Jiyang, with the annual incidence of 9.71/10 million and 8.66/10 million respectively. The incidence of the incidence was the highest among the scattered children and students, and the next was the 0~, 1~, 2~, and the incidence rate was 1.29: 1 (x 2=22.17, P0.001). The rate of laboratory diagnosis is only 15%.. The incidence of bacillary dysentery in Ji'nan has been decreased year by year in Ji'nan. Children, students and farmers are the key prevention and control targets. It is necessary to improve the laboratory diagnosis rate of bacillary dysentery so as to reduce the misdiagnosis rate of clinical diagnosis of bacillary dysentery. It is necessary to strengthen the education and prevention of the key population and key areas in the season of the disease. Cure work.

【作者單位】： 濟(jì)南市疾病預(yù)防控制中心;
【分類號】：R516.4

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