CAJ | 학술논문

目的：了解2013年山东省疟疾疫情现状，为进一步制定有针对性的防治策略和措施提供科学依据。方法收集2013年山东省疟疾疫情资料及病例个案调查资料，对2013年疟疾疫情流行病学特征及病例诊治情况进行统计分析。结果2013年山东省共报告疟疾病例131例，均为境外输入性病例；其中恶性疟116例，占88.55%；由非洲输入的病例127例，占96.95%。131例病例中男性128例，占97.71%；平均年龄为39岁；职业以农民为主，占61.83%（81例）；文化程度以初中为主，占65.65%（86例）。按地区分布统计，病例数居前三位的地级市依次为泰安市32例、烟台市19例、威海市17例，3个市占山东籍病例数的53.13%。2013年全年均有病例报告，无明显季节特征。从发病到就诊时间中位数为4 d；从就诊到确诊时间中位数为1 d；35.88%（47例）的病例初次就诊时被诊断为其他疾病。所有病例均为实验室确诊病例，均得到规范的抗疟治疗。结论2013年山东省的疟疾病例均为境外输入病例。需通过多部门合作、加强出境人员健康教育、入境人员疟疾筛查及疟疾诊治技能培训等措施以控制输入性疟疾疫情。
목적：료해2013년산동성학질역정현상，위진일보제정유침대성적방치책략화조시제공과학의거。방법수집2013년산동성학질역정자료급병례개안조사자료，대2013년학질역정류행병학특정급병례진치정황진행통계분석。결과2013년산동성공보고학질병례131례，균위경외수입성병례；기중악성학116례，점88.55%；유비주수입적병례127례，점96.95%。131례병례중남성128례，점97.71%；평균년령위39세；직업이농민위주，점61.83%（81례）；문화정도이초중위주，점65.65%（86례）。안지구분포통계，병례수거전삼위적지급시의차위태안시32례、연태시19례、위해시17례，3개시점산동적병례수적53.13%。2013년전년균유병례보고，무명현계절특정。종발병도취진시간중위수위4 d；종취진도학진시간중위수위1 d；35.88%（47례）적병례초차취진시피진단위기타질병。소유병례균위실험실학진병례，균득도규범적항학치료。결론2013년산동성적학질병례균위경외수입병례。수통과다부문합작、가강출경인원건강교육、입경인원학질사사급학질진치기능배훈등조시이공제수입성학질역정。
Objective To understand the malaria situation of Shandong Province in 2013,so as to provide the evidence for formulating targeted prevention and control strategy and measures. Methods The data of malaria cases of Shandong Province in 2013 were collected from the Information Management System for Infectious Diseases Report and Information Management Sys-tem for Parasitic Diseases Control and Prevention. The data of epidemiological characteristics of malaria situation and the diagno-sis and treatment of malaria cases were analyzed by Microsoft Excell2007. Results There were 131 malaria cases reported in 2013,all of them were imported cases,and 127 cases(96.95%)were imported from African countries. A total of 116 cases (88.55%)were falciparum malaria cases. Totally 97.71%of the cases were male and the average age of malaria cases was 39 years. A total of 61.83%of the cases were peasants and 65.65%of the cases only received junior high school education. The dis-tribution of malaria cases was concentrated in Tai’an City(32 cases),Yantai City(19 cases)and Weihai City(17 cases),total-ly acounting for 53.13%. There was no significant seasonal variation in the reporting time of the cases. The median time from on-set to seeing doctor was four days and the median time from seeing doctor to being diagnosed was one day. Totally 35.88%of the cases were misdiagnosed when the first visit to a doctor. All of the cases were laboratory confirmed and 100%of them received the standard treatment after diagnosis. Conclusions All of the malaria cases were imported cases in Shandong Province in 2013. To control the imported malaria in Shandong Province,it is necessary to further strengthen the multi-sectoral cooperation, health education,malaria screening and professional training.