CAJ | 학술논문

目的探索铁路职工面临主要传染病感染的变化及趋势,为铁路传染病防治提供科学依据.方法回顾性调查2000-2010年间南宁铁路局职工甲类和乙类传染病流行状况,并采用描述性流行病学研究方法进行分析.结果 2000-2010年间南宁铁路局职工主要报告的甲类和乙类传染病为肺结核、病毒性肝炎、梅毒、痢疾、淋病.肺结核累计报告1627例,年均发病率144.12/10万；病毒性肝炎累计报告1311例,年均发病率116.13/10万；梅毒累计报告409例,年均发病率36.23/10万；痢疾累计报告307例,年均发病率27.19/10万；淋病累计报告245例,年均发病率21.70/10万.病毒性肝炎、淋病、痢疾发病率呈下降趋势,梅毒发病率呈上升趋势,肺结核发病率一直处于较高水平.结论铁路职工传染病疾病谱发生了改变,防治重点及策略需要调整.
목적 탐색철로직공면림주요전염병감염적변화급추세,위철로전염병방치제공과학의거.방법 회고성조사2000-2010년간남저철로국직공갑류화을류전염병류행상황,병채용묘술성류행병학연구방법진행분석.결과 2000-2010년간남저철로국직공주요보고적갑류화을류전염병위폐결핵、병독성간염、매독、이질、임병.폐결핵루계보고1627례,년균발병솔144.12/10만；병독성간염루계보고1311례,년균발병솔116.13/10만；매독루계보고409례,년균발병솔36.23/10만；이질루계보고307례,년균발병솔27.19/10만；임병루계보고245례,년균발병솔21.70/10만.병독성간염、임병、이질발병솔정하강추세,매독발병솔정상승추세,폐결핵발병솔일직처우교고수평.결론 철로직공전염병질병보발생료개변,방치중점급책략수요조정.
Objective To find out the variations and prevalent trend of infectious diseases in railway workers,so as to provide basis for the prevention and control.Methods A retrospective investigation was conducted on the data of the category A and B infectious disease epidemic in Nanning Railway Bureau from 2000 to 2010.It was analyzed by the method of descriptive epidemiology.Results The main reported category A and B infectious diseases in railway workers from 2000 to 2010 were tuberculosis,viral hepatitis,bacillary dysentery,syphilis,and gonorrhea and the average annual incidence rates were 144.12/105(1627 cases),116.13/105(1311 cases),36.23/105(409 cases),27.19/105(307 cases)and 21.70/105(245 cases)separately.The incidence rate of viral hepatitis,gonorrhea and syphilis decreased,withe that of bacillary dysentery increased.The incidence rate of tuberulosis always had a high level.Conclusions The infectious disease spectrum is changing,so the strategy of prevention and control in railway workers should be adjusted.