热带病与寄生虫学
熱帶病與寄生蟲學
열대병여기생충학
TROPICAL DISEASES AND PARASITOLOGY
2014年
3期
146-148,154
,共4页
流感%监测%病原学
流感%鑑測%病原學
류감%감측%병원학
Influenza%Surveillance%Etiology
目的：分析成都某医院2011~2013年流感监测结果，探索流感流行特征及规律，为制订流感防治策略提供依据。方法将内科门诊、发热门诊、内科急诊和儿内科门诊设置为监测诊室，按照国家流感监测方案开展监测工作，并对监测结果进行分析。结果登记报告流感样病例就诊百分比（ILI%）2011年为1.95%，2012年为1.24%，2013年为2.70%。2011~2013年832份ILI标本中流感病毒核酸阳性率为13.82%，其中各亚型流感病毒构成比分别为：B型19.13%、季节性A（H1N1）型0.87%、A（H3N2）型15.62%和甲型H1N1流感64.35%。ILI在冬春季节出现就诊高峰，与标本核酸检测阳性率高峰时间呈正相关（r＝0.457，P<0.001）；ILI年龄组构成比以5~15岁组最高，各年龄组核酸检测阳性率差异有统计学意义。结论 ILI流行强度与流感病毒活动趋势一致。流感防治工作需要在冬春以及夏季加强。需注重各年龄层的采样比例，减少采样人群分布不均衡导致的监测结果差异。
目的：分析成都某醫院2011~2013年流感鑑測結果，探索流感流行特徵及規律，為製訂流感防治策略提供依據。方法將內科門診、髮熱門診、內科急診和兒內科門診設置為鑑測診室，按照國傢流感鑑測方案開展鑑測工作，併對鑑測結果進行分析。結果登記報告流感樣病例就診百分比（ILI%）2011年為1.95%，2012年為1.24%，2013年為2.70%。2011~2013年832份ILI標本中流感病毒覈痠暘性率為13.82%，其中各亞型流感病毒構成比分彆為：B型19.13%、季節性A（H1N1）型0.87%、A（H3N2）型15.62%和甲型H1N1流感64.35%。ILI在鼕春季節齣現就診高峰，與標本覈痠檢測暘性率高峰時間呈正相關（r＝0.457，P<0.001）；ILI年齡組構成比以5~15歲組最高，各年齡組覈痠檢測暘性率差異有統計學意義。結論 ILI流行彊度與流感病毒活動趨勢一緻。流感防治工作需要在鼕春以及夏季加彊。需註重各年齡層的採樣比例，減少採樣人群分佈不均衡導緻的鑑測結果差異。
목적：분석성도모의원2011~2013년류감감측결과，탐색류감류행특정급규률，위제정류감방치책략제공의거。방법장내과문진、발열문진、내과급진화인내과문진설치위감측진실，안조국가류감감측방안개전감측공작，병대감측결과진행분석。결과등기보고류감양병례취진백분비（ILI%）2011년위1.95%，2012년위1.24%，2013년위2.70%。2011~2013년832빈ILI표본중류감병독핵산양성솔위13.82%，기중각아형류감병독구성비분별위：B형19.13%、계절성A（H1N1）형0.87%、A（H3N2）형15.62%화갑형H1N1류감64.35%。ILI재동춘계절출현취진고봉，여표본핵산검측양성솔고봉시간정정상관（r＝0.457，P<0.001）；ILI년령조구성비이5~15세조최고，각년령조핵산검측양성솔차이유통계학의의。결론 ILI류행강도여류감병독활동추세일치。류감방치공작수요재동춘이급하계가강。수주중각년령층적채양비례，감소채양인군분포불균형도치적감측결과차이。
Objective To analyze the epidemic feature and regulation on influenza from 2011 to 2013, and provide scientific basis for influenza prevention. Methods The medical clinic, fever clinic, emergency de-partment and children clinic were set up as monitor clinic, surveillance work were carried out in accordance with national influenza surveillance programme and the results were analyzed. Results The registration per-centage of influenza like illness in outpatients (ILI%) in 2011, 2012, 2013 were 1.95%, 1.24%and 2.70%, respec-tively. The positive rate of nucleic acid of influenza virus in 832 ILI specimens was 13.82%and the constituent ratio of subtype B, seasonal A (H1N1), A (H3N2), A (H1N1) were 19.13%, 0.87%, 15.62%and 64.35%. The visiting peak of ILI occurred in winter and spring and correlated with the peak time of positive rate of nucleic acid (r=0.457, P<0.001). The highest constituent ratio of age in ILI was 5~15 years old and there were signifi-cant differences in positive rate of nucleic acid among all age groups. Conclusion The epidemic strength of ILI was consistent with the activity trend of influenza virus and the prevention of influenza should be strengthened in winter-spring and summer. Moreover, more attention should be paid on sampling ratio in each age groups to reduce the surveillance differences caused by uneven distribution of sampling population.
