CAJ | 학술논문

目的：分析流行性腮腺炎的流行病学分布，探讨流行性腮腺炎的各项防控措施，对防控效果进行初步评价，为下一步的防控工作提供科学依据。方法收集2011年10月至12月西安市某小学流行性腮腺炎病例资料，进行流行病学调查，制定控制措施。结果全校2450例学生中197例发病，发病率为8．05％。发病率从高至低依次为三年级14．94％、二年级10．38％、一年级7．88％、五年级6．56％、六年级5．45％、四年级3．65％。2007例接种了腮腺炎疫苗的66例学生本次发病，占发病人数的33．5％，发病率为3．28％；443例未接种腮腺炎疫苗的131例学生本次发病，占发病人数的66．5％，发病率为29．8％，发病率显著高于已接种疫苗的学生（χ2＝339．00，P＜0．05）。在采取了消毒、隔离、接种疫苗等措施后再无新增病例，197例患者痊愈，疫情得到有效控制。结论制定合理及时有效的防控措施非常重要。
목적：분석류행성시선염적류행병학분포，탐토류행성시선염적각항방공조시，대방공효과진행초보평개，위하일보적방공공작제공과학의거。방법수집2011년10월지12월서안시모소학류행성시선염병례자료，진행류행병학조사，제정공제조시。결과전교2450례학생중197례발병，발병솔위8．05％。발병솔종고지저의차위삼년급14．94％、이년급10．38％、일년급7．88％、오년급6．56％、륙년급5．45％、사년급3．65％。2007례접충료시선염역묘적66례학생본차발병，점발병인수적33．5％，발병솔위3．28％；443례미접충시선염역묘적131례학생본차발병，점발병인수적66．5％，발병솔위29．8％，발병솔현저고우이접충역묘적학생（χ2＝339．00，P＜0．05）。재채취료소독、격리、접충역묘등조시후재무신증병례，197례환자전유，역정득도유효공제。결론제정합리급시유효적방공조시비상중요。
Objective To analyze the epidemiology of mumps, explore the measures and assess the results of control and prevention, so as to provide scientific evidence for further work.Methods The cases of mumps were collected in a primary school from October to December in 2011, and their epidemiologic features were studied to make measures for control and prevention.Results Among 2 450 students, 197 pupils were found with mumps, and the incidence was 8.05%.The incidence was 14.94%, 10.38%, 7.88%, 6.56%, 5.45% and 3.65%, respectively in grade 3, 2, 1, 5, 6, 4.There were 66 ( 33.5%) infected pupils in 2 007 ones who had inoculated mumps vaccine, and the incidence was 3.28%.Among the students not receiving mumps vaccine, 131 ( 66.5%) were infected, and the incidence was 29.8%, which was significantly higher than that in vaccinated students (χ2 =339.00, P<0.05).No new patient was found after taking measures of disinfection, isolation and vaccination.All of 197 patients recovered, and the epidemic situation was controlled.Conclusion It is very important to make effective measures in time.