中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2008年
5期
342-344
,共3页
吕晔%许华茹%于秋燕%边学峰
呂曄%許華茹%于鞦燕%邊學峰
려엽%허화여%우추연%변학봉
痢疾,杆菌性%发病率%志贺菌属
痢疾,桿菌性%髮病率%誌賀菌屬
이질,간균성%발병솔%지하균속
Dysentery,bacillary%Incidence%Shigella
目的 探讨济南市细菌性痢疾流行特征,为有效控制细菌性痢疾流行、制订控制措施提供科学依据.方法 对济南市1951-2005年细菌性痢疾发病资料和防治资料进行流行病学分析,50余年间共发病485 333例,人群分布分析病例数少于总发病,系因文革期间资料不完整所致.结果 50多年来,济南市细菌性痢疾发病呈逐年下降态势,平均发病率为283.10/10万,各年代间发病率经χ2检验差异有统计学意义(χ2=14.99,P＜0.05).期间出现4次大的流行高峰,发病率均在1000/10万左右;发病年龄主要集中在0～4岁、20岁～、30岁～3个年龄段;工人占30.31%,散居儿童占22.71%,农民占17.90%;发病集中于7-9月,占71.57%,8月为发病高峰;市区发病率最高为550.94/10万.结论 经过几代卫生疾病控制人员的努力,济南市细菌性痢疾发病已控制在较低发病水平.今后除继续做好城区的细菌性痢疾预防控制外,应进一步继续加强农村地区细菌性痢疾防治管理工作;F2a菌型的生物学特性研究是今后工作的重点.
目的 探討濟南市細菌性痢疾流行特徵,為有效控製細菌性痢疾流行、製訂控製措施提供科學依據.方法 對濟南市1951-2005年細菌性痢疾髮病資料和防治資料進行流行病學分析,50餘年間共髮病485 333例,人群分佈分析病例數少于總髮病,繫因文革期間資料不完整所緻.結果 50多年來,濟南市細菌性痢疾髮病呈逐年下降態勢,平均髮病率為283.10/10萬,各年代間髮病率經χ2檢驗差異有統計學意義(χ2=14.99,P＜0.05).期間齣現4次大的流行高峰,髮病率均在1000/10萬左右;髮病年齡主要集中在0～4歲、20歲～、30歲～3箇年齡段;工人佔30.31%,散居兒童佔22.71%,農民佔17.90%;髮病集中于7-9月,佔71.57%,8月為髮病高峰;市區髮病率最高為550.94/10萬.結論 經過幾代衛生疾病控製人員的努力,濟南市細菌性痢疾髮病已控製在較低髮病水平.今後除繼續做好城區的細菌性痢疾預防控製外,應進一步繼續加彊農村地區細菌性痢疾防治管理工作;F2a菌型的生物學特性研究是今後工作的重點.
목적 탐토제남시세균성이질류행특정,위유효공제세균성이질류행、제정공제조시제공과학의거.방법 대제남시1951-2005년세균성이질발병자료화방치자료진행류행병학분석,50여년간공발병485 333례,인군분포분석병례수소우총발병,계인문혁기간자료불완정소치.결과 50다년래,제남시세균성이질발병정축년하강태세,평균발병솔위283.10/10만,각년대간발병솔경χ2검험차이유통계학의의(χ2=14.99,P＜0.05).기간출현4차대적류행고봉,발병솔균재1000/10만좌우;발병년령주요집중재0～4세、20세～、30세～3개년령단;공인점30.31%,산거인동점22.71%,농민점17.90%;발병집중우7-9월,점71.57%,8월위발병고봉;시구발병솔최고위550.94/10만.결론 경과궤대위생질병공제인원적노력,제남시세균성이질발병이공제재교저발병수평.금후제계속주호성구적세균성이질예방공제외,응진일보계속가강농촌지구세균성이질방치관리공작;F2a균형적생물학특성연구시금후공작적중점.
Objective To explore the epidemic characteristics of bacterial dysentery in Jinan municipality, and to provide scientific basis for effective strategy for bacterial dysentery control. Methods The epidemiolagical characteristics of bacillary dysentery in Jinan from 1951 to 2005 were analyzed. A total of 485 333 cases in the span of 50 years were recorded, while the population-based case distribution was less than the total cases due to the data incompleteness during the Cultural Revolution. Results The incidence of bacillary dysentery in Jinan has been decreasing by years with average incidence rate of 283.10/100 000.The significant differences were observed among the incidence rates of various ages( χ2 = 14. 99 ,P ＜ 0.05 ).There were four epidemic peaks, and all the incidence rates were about 1000/100 000. Age of onset mainly concentrated in the 0 -4 years old, 20 -years old and 30 -years old. In terms of occupational distribution,workers accounted for 30. 31%, the living-scattered children accounted for 22.71%, and the farmers accounted for 17.90%. The incidence focus was from July to September, which accounted for 71.57%. The peak of incidence emerged in August. The highest incidence in urban was 550. 94/100 000. Conclusion Through the efforts of several generations of health workers, the incidence of bacillary dysentery in Jinan has been basically brought under control. Further step should be taken for the control of bacterial dysentery in urban areas and the management of bacterial dysentery in rural areas. Moreover, the biological characteristics of F2a should be a focus for the future study.
