本文選題：腎綜合征出血熱　切入點：流行病學(xué)　出處：《中國人獸共患病學(xué)報》2017年04期 　論文類型：期刊論文

【摘要】：目的分析福建省漳州市腎綜合征出血熱(HFRS)流行特征和發(fā)病風(fēng)險,為疾病防控提供科學(xué)依據(jù)。方法整理和分析2006—2015年漳州市HFRS病例個案資料及宿主動物監(jiān)測資料。結(jié)果 10年間,漳州市共報告HFRS 171例,死亡1例。年均發(fā)病率為0.352/10萬,疫情呈上升趨勢(χ~(trend~2)=58.60,P0.01)。累計波及全市11縣區(qū)70鄉(xiāng)鎮(zhèn)(56.00%),高發(fā)鄉(xiāng)鎮(zhèn)為華安縣仙都鎮(zhèn)、華豐鎮(zhèn),南靖縣靖城鎮(zhèn),詔安縣深橋鎮(zhèn)、南詔鎮(zhèn)。農(nóng)村地區(qū)報告142例,職業(yè)以農(nóng)民為主(79.58%),其中生豬養(yǎng)殖人員占該職業(yè)病例23.01%。病例報告單位集中在市級醫(yī)院(86.55%),常見臨床表現(xiàn)為發(fā)熱、惡心、嘔吐、腰疼、頭疼、全身痛、少尿或無尿、眼瞼浮腫等,血小板減少占72.67%,蛋白尿陽性83.09%。對比前后5年,病家屋內(nèi)有鼠比例(80.49%,45.83%)明顯下降,工作場所有鼠或鼠排泄物比例(60.98%,73.33%)一直較高。家棲鼠平均鼠密度為6.40%,鼠總帶毒率7.42%,主要帶病毒鼠種為褐家鼠,攜帶Ⅱ型漢城病毒。結(jié)論漳州市是HFRS家鼠型疫源地,近年整體上處于高度散發(fā),部分縣區(qū)呈現(xiàn)逐年上升的趨勢,建議加大高發(fā)地區(qū)監(jiān)測和防治力度,開展全市基層醫(yī)療機(jī)構(gòu)HFRS診療培訓(xùn)。
[Abstract]:Objective to analyze the epidemic characteristics and risk of hemorrhagic fever with renal syndrome (HFRS) in Zhangzhou City, Fujian Province, so as to provide scientific basis for disease prevention and control. Methods the data of HFRS cases and surveillance of host animals in Zhangzhou City from 2006 to 2015 were analyzed. A total of 171 cases of HFRS were reported and 1 case died in Zhangzhou City. The average annual incidence rate was 0.352.10 million, and the epidemic situation showed an upward trend (蠂 ~ (2) trendd ~ (2)) 58.60% (P 0.01). The cumulative spread was 56.00% in 70 villages and towns in 11 counties and districts of the whole city. The high incidence towns were Xiandu town, Hua Feng town, Jing town, Nanjing county, and Shenqiao town, Zhao'an County. Nanzhao Township. 142 cases were reported in rural areas. The occupation was mainly farmers. Among them, pig farmers accounted for 23.01.The case report units were concentrated in municipal hospitals. The common clinical manifestations were fever, nausea, vomiting, waist pain, headache, general pain, general pain, and general pain. Oliguria or anuria, blepharoedema, thrombocytopenia accounted for 72.67, positive proteinuria 83.09.For 5 years before and after the comparison, the proportion of rats in the house of the sick family was 80.49 and 45.83). The average rodent density was 6.40, and the total virus carrying rate was 7.42%. The main virus carrying rat species was Rattus norvegicus, carrying Seoul virus type 鈪，

本文編號：1578659