CAJ | 학술논문

目的：通过对2003～2012年流行性乙型脑炎（乙脑）病例进行分析，了解韶关地区乙脑的流行情况，为乙脑的预防控制提供科学依据。方法通过对疑似病例进行主动监测，回顾分析实验室确证病例相关资料。结果韶关市2003～2012年共报告乙脑病例47例，死亡2例，乙脑年发病率在（0～0．531）/10万。乙脑发病呈明显的季节性，主要集中在6～7月。47例乙脑病例中，6月发病20例，占42．55％；7月发病21例，占44．68％；6～7月病例占总病例数的87．23％。男性疑似病例130例，实验室确诊31例；女性疑似病例86例，实验室确诊16例；男性阳性病例多于女性。47例确诊为乙脑病例中，0～＜4岁6例，4～＜7岁22例，7～＜20岁17例，20岁及以上2例，患者以学龄前儿童和学生为主（占82．97％）。乙脑病例中主要以无免疫史和免疫史不详为主（32例），占病例总数的68．08％；有免疫史的15例，占病例总数的31．92％。结论预防控制乙脑首先应该抓好乙脑疫苗的接种，建议每年在乙脑流行季节前开展乙脑疫苗的强化免疫，重点做好农村和城郊地区的防蚊灭蚊工作，同时加强实验室监测。
목적：통과대2003～2012년류행성을형뇌염（을뇌）병례진행분석，료해소관지구을뇌적류행정황，위을뇌적예방공제제공과학의거。방법통과대의사병례진행주동감측，회고분석실험실학증병례상관자료。결과소관시2003～2012년공보고을뇌병례47례，사망2례，을뇌년발병솔재（0～0．531）/10만。을뇌발병정명현적계절성，주요집중재6～7월。47례을뇌병례중，6월발병20례，점42．55％；7월발병21례，점44．68％；6～7월병례점총병례수적87．23％。남성의사병례130례，실험실학진31례；녀성의사병례86례，실험실학진16례；남성양성병례다우녀성。47례학진위을뇌병례중，0～＜4세6례，4～＜7세22례，7～＜20세17례，20세급이상2례，환자이학령전인동화학생위주（점82．97％）。을뇌병례중주요이무면역사화면역사불상위주（32례），점병례총수적68．08％；유면역사적15례，점병례총수적31．92％。결론예방공제을뇌수선응해조호을뇌역묘적접충，건의매년재을뇌류행계절전개전을뇌역묘적강화면역，중점주호농촌화성교지구적방문멸문공작，동시가강실험실감측。
Objective Through the 2003 -2012 epidemic encephalitis B cases analysis ,to study the prevalence of epidemic en-cephalitis B in Shaoguan ,and to provide the scientific basis for the prevention and control epidemic encephalitis B .Methods Active surveillance of suspected cases ,retrospective analysis of laboratory confirmed cases related materials were done .Results There were 47 cases who suffered from epidemic encephalitis B in Shaoguan from 2003 to 2012 ,and 2 death cases occurred .Epidemic en-cephalitis B incidence in years was (0 -0 .531) /10 million .There was a morbidity peak in June and July ,which accounted for 87 .23% of the total incidence ,20 cases occurred in June(42 .55% )and 21 cases occurred in July(44 .68% ) .Men suspected cases in 130 cases ,31 laboratory confirmed cases .Women suspected cases in 86 cases ,16 laboratory confirmed cases .The positive cases of male was more than female .In 47 epidemic encephalitis B cases ,0- <4 years old 6 cases ,4- <7 years old 22 cases ,7- <20 years old 17 cases ,≥ 20 years old 2 cases .Most of the patients were preschool children and students ,accounting for 82 .97% .There were 32 cases with no or uncertain history of vaccination ,accounting for 68 .08% of the total cases .15 cases had history of immunity ,ac-counting for 31 .92% of the total cases .Conclusion Prevention of epidemic encephalitis B should pay more attention to epidemic en-cephalitis B vaccination .Mosquito control work of rural and peri-urban areas should be strengthened .