CAJ | 학술논문

目的：了解黔西南州甲型病毒性肝炎（甲肝）流行特征，为制定防治策略提供依据。方法对黔西南州2004～2013年甲肝疫情作描述性流行病学分析。结果2004～2013年累计报告甲肝病例4606例，年均发病率15．38/10万，甲肝占病毒性肝炎的百分比也呈下降趋势；男性与女性发病之比为1.72∶1；发病人群以学生为主（46．92％），其次为农民（21．91％）。结论黔西南州甲肝发病率逐年下降，但仍需扎实开展甲肝疫苗常规接种工作以维持低发病水平；重点加强学生、农民等高发人群的预防措施，提高全人群对甲肝的免疫力，控制局部暴发。
목적：료해검서남주갑형병독성간염（갑간）류행특정，위제정방치책략제공의거。방법대검서남주2004～2013년갑간역정작묘술성류행병학분석。결과2004～2013년루계보고갑간병례4606례，년균발병솔15．38/10만，갑간점병독성간염적백분비야정하강추세；남성여녀성발병지비위1.72∶1；발병인군이학생위주（46．92％），기차위농민（21．91％）。결론검서남주갑간발병솔축년하강，단잉수찰실개전갑간역묘상규접충공작이유지저발병수평；중점가강학생、농민등고발인군적예방조시，제고전인군대갑간적면역력，공제국부폭발。
Objective To understand the Qianxinan Prefecture hepatitis A virus (HAV ) epidemic characteristics,provide basis for the prevention and control strategy. Methods As the descriptive epidemiological analysis on the epidemic situation from 2004 through 201 3 in Qianxinan Prefecture. Results From 2004 to 201 3 a total of 4 606 hepatitis cases were reported, the average incidence rate of 1 5.38/1 0 0000,The percentage of hepatitis A virus hepatitis also showed a trend of decline.Male and female incidence ratio for 1 .72∶1;The incidence of students (46 .92%),followed by farmers (21 .91%). Conclusion Qianxinan Prefecture hepatitis A incidence decreases year by year,But it is still needed to carry out routine vaccination of hepatitis A vaccine to maintain low morbidity level;Focus on strengthening the high-risk students,farmers and other populations of preventive measures,improve the whole population immunity to hepatitis A,the control of local outbreak.