2005-2015年楚雄州肾综合征出血热流行特征分析

发布时间：2018-03-24 20:27

本文选题：肾综合征出血热　切入点：流行特征　出处：《现代预防医学》2017年04期

【摘要】：目的分析楚雄州2005-2015年肾综合征出血热的流行特征,为防控工作提供科学依据。方法对《中国疾病预防控制信息系统》中报告的楚雄州2005-2015年肾综合征出血热报告数据、大姚县和元谋县宿主动物监测数据进行统计分析。结果 2005-2015年楚雄州共报告203例肾综合征出血热病例,死亡1例,年均报告发病率0.68/10万。自2012年以来,肾综合征出血热发病例数逐年增多,报告发病县数不断增多;91.98%(172/187)的本地报告病例均由楚雄州人民医院和楚雄州中医院报告,2005-2011年,季节分布以夏秋季(8-9月)为发病高峰,2012-2015年,季节分布呈以春夏季(4-7月)为优势峰、冬季(11-12月)为弱势峰的双峰型分布;男性青壮年农民为高发人群;2013年大姚县鼠形动物鼠肺汉坦病毒带毒率为16.05%(13/81),2015年元谋县鼠形动物鼠肺汉坦病毒带毒率为34.43%(21/61),携带汉坦病毒的鼠形动物既有家鼠,又有野鼠。结论自2012年以来,报告病例数逐年增多,疫区范围不断扩大,疫源地类型可能已从家鼠型疫源地转变为以家鼠疫源地为主的混合型疫源地,但县级及以下医疗机构对本病的诊断水平不高,建议加强对基层医疗机构临床医生HFRS诊治技能的培训,提高诊治水平。
[Abstract]:Objective to analyze the epidemic characteristics of hemorrhagic fever with renal syndrome (HFRS) from 2005 to 2015 in Chuxiong prefecture, and to provide scientific basis for prevention and control. Results from 2005 to 2015, 203 cases of hemorrhagic fever with renal syndrome were reported in Chuxiong prefecture, and 1 case died, with an average annual reported incidence rate of 0.68 / 100,000. The number of hemorrhagic fever with renal syndrome (HFRS) cases increased year by year. The number of reported local reported cases of HFRS (91.98 / 172 / 187) were reported by Chuxiong people's Hospital and Chuxiong traditional Chinese Medicine Hospital from 2005 to 2011, and the seasonal distribution was from August to September in summer and autumn. The seasonal distribution was the dominant peak in spring and summer, and the double peak distribution in winter was weak peak. Male young and middle-aged farmers are high risk groups; in 2013, the rate of carrying Hantavirus in the lungs of mice in Dayao County was 16.05 / 81%, and in 2015 the rate of carrying the virus in the lungs of mice in Yuanmou County was 34.43% 21 / 61%. The rat-shaped animals carrying Hantavirus had domestic mice. Conclusion since 2012, the number of reported cases has increased year by year, and the scope of epidemic areas has been expanding. The type of foci may have changed from rodent foci to mixed foci. However, the level of diagnosis of this disease is not high in medical institutions at county level and below. It is suggested that the training of HFRS diagnosis and treatment skills for clinicians in primary medical institutions should be strengthened to improve the level of diagnosis and treatment.
【作者单位】：楚雄州疾病预防控制中心;
【分类号】：R512.8;R181.3

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