中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
4期
218-221
,共4页
麻疹%儿童%婴幼儿%疫情%流行病学%疫苗%计划免疫
痳疹%兒童%嬰幼兒%疫情%流行病學%疫苗%計劃免疫
마진%인동%영유인%역정%류행병학%역묘%계화면역
measles%child%infant%epidemic%epidemiology%vaccine%planned vaccination
目的：了解麻疹的临床及流行病学特点，探讨控制麻疹疫情流行的有效措施。方法回顾性分析2009年1月-2013年12月收治的554例麻疹住院患儿临床资料。结果554例麻疹住院患儿均有发热、咳嗽、皮疹，临床表现为典型麻疹者507例（91．52％），轻型麻疹47例（8．48％）；以≤6月龄（176例，31．77％）和7～8月龄（346例，62．45％）患儿为主；有明确麻疹疾病接触史者132例（23．83％），患儿母亲同时患有麻疹19例（均为2013年病例，占3．43％），在麻疹潜伏期内有反复在大型医疗机构就诊输液史或住院史（均为2013年病例，同期该机构有麻疹患儿就诊输液或住院史）者227例（40．97％）。每年的1～5月为发病高峰。结论强化育龄期年轻女性的麻疹疫苗接种、在婴儿早期接种麻疹“前疫苗”及加强发热门诊的就诊管理，是预防麻疹流行的重要措施。
目的：瞭解痳疹的臨床及流行病學特點，探討控製痳疹疫情流行的有效措施。方法迴顧性分析2009年1月-2013年12月收治的554例痳疹住院患兒臨床資料。結果554例痳疹住院患兒均有髮熱、咳嗽、皮疹，臨床錶現為典型痳疹者507例（91．52％），輕型痳疹47例（8．48％）；以≤6月齡（176例，31．77％）和7～8月齡（346例，62．45％）患兒為主；有明確痳疹疾病接觸史者132例（23．83％），患兒母親同時患有痳疹19例（均為2013年病例，佔3．43％），在痳疹潛伏期內有反複在大型醫療機構就診輸液史或住院史（均為2013年病例，同期該機構有痳疹患兒就診輸液或住院史）者227例（40．97％）。每年的1～5月為髮病高峰。結論彊化育齡期年輕女性的痳疹疫苗接種、在嬰兒早期接種痳疹“前疫苗”及加彊髮熱門診的就診管理，是預防痳疹流行的重要措施。
목적：료해마진적림상급류행병학특점，탐토공제마진역정류행적유효조시。방법회고성분석2009년1월-2013년12월수치적554례마진주원환인림상자료。결과554례마진주원환인균유발열、해수、피진，림상표현위전형마진자507례（91．52％），경형마진47례（8．48％）；이≤6월령（176례，31．77％）화7～8월령（346례，62．45％）환인위주；유명학마진질병접촉사자132례（23．83％），환인모친동시환유마진19례（균위2013년병례，점3．43％），재마진잠복기내유반복재대형의료궤구취진수액사혹주원사（균위2013년병례，동기해궤구유마진환인취진수액혹주원사）자227례（40．97％）。매년적1～5월위발병고봉。결론강화육령기년경녀성적마진역묘접충、재영인조기접충마진“전역묘”급가강발열문진적취진관리，시예방마진류행적중요조시。
Objective To realize the clinical and epidemiological characteristics of measles,and explore effective measures to control measles epidemic.Methods Clinical data of 554 hospitalized measles children between January 2009 and December 2013 were analyzed retrospectively.Results All children had fever,cough,and skin rash,507 (91.52% )had typical clinical manifestations of measles,47(8.48% )had mild manifestations;the major population were children aged≤6 months(n= 176,31.77% )and 7-8 months (n= 346,62.45% );132 (23.83% )children had contact history of confirmed measles,19(3.43% )measles children’s mothers also developed measles (all were cases of 2013),227 (40.97% )children had history of repeated infusion or hospitalization in large medical institutes dur-ing the measles incubation period (all were cases of 2013,there were measles children who had infusion or hospitali-zation in the same hospital during the same period). The peak incidence of measles usually occurs in January-May. Conclusion Intensive immunization of measles for young women of reproductive age and vaccination with“pre-mea-sles vaccine”for early infancy,and strengthening the medical management of fever outpatients are important meas-ures to prevent measles epidemic.
