CAJ | 학술논문

目的：描述2014年广西北海市麻疹流行病学特征,了解麻疹发病的影响因素,为防控麻疹提供参考。方法对66例确诊麻疹病例进行流行病学描述性分析。结果2014年北海市报告确诊麻疹病例66例,发病率4.21/10万,比2013年同期上升144.44%,海城区发病率(12.13/10万)最高,发病人群中<8月龄儿童发病占15.15%,≥8月龄~≤3岁儿童占40.91%,>25岁成年人占43.94%；43.94%病例在发病前21 d 曾在医院就诊或工作；48.48%病例无含麻疹成分疫苗(MCV)接种史,46.97%病例接种史不详。结论年龄增长导致人群麻疹抗体水平下降、易感人群累积、人口流动出现免疫空白点和院内感染等是2014年北海市麻疹疫情的影响因素。
목적：묘술2014년엄서북해시마진류행병학특정,료해마진발병적영향인소,위방공마진제공삼고。방법대66례학진마진병례진행류행병학묘술성분석。결과2014년북해시보고학진마진병례66례,발병솔4.21/10만,비2013년동기상승144.44%,해성구발병솔(12.13/10만)최고,발병인군중<8월령인동발병점15.15%,≥8월령~≤3세인동점40.91%,>25세성년인점43.94%；43.94%병례재발병전21 d 증재의원취진혹공작；48.48%병례무함마진성분역묘(MCV)접충사,46.97%병례접충사불상。결론년령증장도치인군마진항체수평하강、역감인군루적、인구류동출현면역공백점화원내감염등시2014년북해시마진역정적영향인소。
Objective To describe the epidemiological characteristics of measles in Guangxi Beihai in 2014,and to find out the influence factors of measles,so as to provide references for prevention and control of measles. Methods A descriptive epidemiology was done for analyzing 66 patients proven with measles. Re-sults Sixty-six measles cases were reported from Beihai 2014,the incidence was 4.21 per 100,000 population and increased up 144.44 percent from a year earlier.The incidence of Haicheng district was the highest(12.13 per 100,000 population).Cases among the children aged < 8 months accounted for 15.15%,and cases ≥ 8 months~≤3 years old accounted for 40.91%,and cases>25 years old accounted for 43.94%.43.94% cases were treated or worked at hospital within 21 days prior to onset of measles,48.48%cases without measles-containing vaccine(MCV)immune history,46.97%with unknown immune history. Conclusion Influence fac-tors of measles in Beihai 2014 includes the decreased measles anti-body level resulting from aging and the ac-cumulation of susceptible populations and the immunization gaps by the movement of people and hospital infec-tions.