1949-2014年石家庄市流行性脑脊髓膜炎死亡变化趋势分析

发布时间：2018-04-18 18:03

  本文选题：流行性脑脊髓膜炎 + 死亡率　； 参考：《现代预防医学》2017年21期

【摘要】：目的分析1949-2014年石家庄市流行性脑脊髓膜炎(流脑)人群死亡的长期趋势。方法从石家庄市疾病预防控制中心抽取1949-2014年流脑死亡病例信息,定性描述其死亡人群特点、死亡率、病死率变迁,以年度变化百分比(annual percentage change,APC)定量分析其长期趋势。结果 1949-2014年,石家庄市共报告流脑死亡病例4 443例,平均年龄8.55岁,男女性别比为1.84∶1,城乡比23.16∶1,2-4月病例数占87.51%。人群死亡率最高为341.45/10万,部分年份无死亡病例。死亡率APC为-2.44(t=-10.711,P0.001),其中0~1岁、1~5岁、5~10岁、10~15岁、15-20岁人群死亡率的下降对全人群死亡率下降的贡献率分别为244.67%、209.43%、242.62%、195.08%、156.56%。病死率为8.26%,APC为-0.53(t=-3.352,P=0.021),但1980年以后上升,基本每10年1高峰。年龄别病死率呈W状,0~1岁、15-20岁、≥60岁的最高。结论 1949-2014年石家庄市流脑死亡率明显下降,病死率虽有下降,但近年来回升。
[Abstract]:Objective to analyze the long-term mortality trend of epidemic cerebrospinal meningitis (meningitis) in Shijiazhuang City from 1949 to 2014.Methods from the Center for Disease Control and Prevention in Shijiazhuang City, the data of cerebrospinal meningitis death cases from 1949 to 2014 were collected and analyzed qualitatively. The changes of mortality, mortality and mortality were described qualitatively, and the long-term trend was quantitatively analyzed by the percentage of annual percentage change in Shijiazhuang.Results from 1949 to 2014, a total of 4,443 cases of meningitis death were reported in Shijiazhuang, with an average age of 8.55 years. The sex ratio of male to female was 1.84: 1, and the ratio of urban and rural areas was 23.16: 1 / 2-4. The number of cases accounted for 87.51%.The highest mortality rate was 3, 414. 5%-100, 000, and there were no deaths in some years.The mortality rate (APC) was -2.44 t ~ (-1) -10.711 (P 0.001), in which 0 ~ 1 year old was 1 year old and 5 years old, 10 ~ 15 years old and 15 ~ 20 years old. The contribution rate of mortality to the whole population was 244.67 ~ 209.43 ~ (242.62) and 195.08156.56 respectively.The mortality rate of APC was -0.53% -3.352% -0.021%, but it increased after 1980 and reached its peak every 10 years.The mortality rate of age was W-shaped 0 ~ 0 years old and 15 ~ 20 years old, and the highest was 鈮，

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