CAJ | 학술논문

目的：探讨孝感市环境、气候变化对水痘发病流行的影响。方法：设计流行病学调查表，在孝感周边地区设立临时观察点，由皮肤科医生对水痘散发病例进行临床观察和调查，并抽取近几年的地方流行病学预防统计报表资料，调查时间为2009～2012年，采用SPSS 18软件进行统计学分析。结果：2009～2012年孝感市共报告水痘临床诊断病例6324例，无死亡病例报告，年平均发病率为32.838/10万，全年各月均有病例发生，呈现5～6月和11～12月两个明显发病高峰，分别占报告病例总数的25.90％和27.02％。发病有明显季节性，在夏季和冬季出现发病高峰。但与气温（ r ＝-0.15， P ＞0.05）、相对湿度（r＝-0.29，P＞0.05）、降雨量（r＝0.16，P＞0.05）均无相关性。结论：应重视环境因素对水痘发病的影响，为制定水痘疫情流行的防治措施提供科学依据。
목적：탐토효감시배경、기후변화대수두발병류행적영향。방법：설계류행병학조사표，재효감주변지구설립림시관찰점，유피부과의생대수두산발병례진행림상관찰화조사，병추취근궤년적지방류행병학예방통계보표자료，조사시간위2009～2012년，채용SPSS 18연건진행통계학분석。결과：2009～2012년효감시공보고수두림상진단병례6324례，무사망병례보고，년평균발병솔위32.838/10만，전년각월균유병례발생，정현5～6월화11～12월량개명현발병고봉，분별점보고병례총수적25.90％화27.02％。발병유명현계절성，재하계화동계출현발병고봉。단여기온（ r ＝-0.15， P ＞0.05）、상대습도（r＝-0.29，P＞0.05）、강우량（r＝0.16，P＞0.05）균무상관성。결론：응중시배경인소대수두발병적영향，위제정수두역정류행적방치조시제공과학의거。
Objective:To explore the incidence and the epidemiological characteristics of vari-cella in Xiaogan city .Methods:During 2009 to 2012 , the epidemic investigational parameter was designed , the temporary viewpoint in the peripheral locality around Xiaogan area was set up , and the clinical observation and the investigation of sporadic cases by dermatologist were carried out . The local epidemic prevention statistics data in the last few years was analyzed , and the SPSS 18 software was used for statistical processing .Results:A total of 6324 cases of varicella , without one single casualty, were reported in Xiaogan during 2009-2012.The average annual incidence was 32.838/100,000 population.Varicella cases occurred in every month during the three years .The peak of the incidence occurred in summer ( from May to June , 25.90%) and winter ( from No-vember to December, 27.02%).It has no correlation with temperature(r=-0.15, P>0.05)、relative humidity (r=-0.29, P>0.05) and rain capacity (r=0.16, P>0.05).Conclusion:We should pay more attention to the possible influence by the environmental factors .Measures should be taken to improve the inoculation rate of varicella vaccine and reduce the incidence of varicella.