甘肃省河西走廊地区2006-2010年夏秋季脑炎脑膜炎症候群病例调查

发布时间：2019-06-24 23:06

【摘要】：目的分析甘肃省河西走廊地区2006-2010年夏秋季节脑炎脑膜炎症候群病例流行病学及临床特征,为河西走廊地区乙脑监测及防控策略提供理论依据。方法回顾性调查分析河西5市选取的8个市、区(县)辖区内县级及以上医院574例脑炎脑膜炎症候群病例。结果 574例脑炎脑膜炎症候群病例中以病毒性脑炎病例为主,占75.09%,15岁以下儿童发病最为常见,占44.60%,多见于学生、农民、幼托及散居儿童。脑炎脑膜炎症候群病例多急性起病,以轻型、中型为主;主要临床表现依次为头痛、恶心、精神萎靡、发热、呕吐及头晕,结核性脑膜炎患者头痛的发生率明显高于病毒性脑炎及化脓性脑炎患者,差异有统计学意义(P0.05);化脓性脑膜炎患者精神神经症状的发生率明显高于病毒性脑炎及结核性脑膜炎,差异有统计学意义(P0.05)。结论病毒性脑炎是河西走廊地区脑炎脑膜炎症候群的主要病种,结合历史数据,仍不能排除河西走廊地区存在乙脑病例的可能性。
[Abstract]:Objective to analyze the epidemiological and clinical characteristics of meningitis syndrome in Hexi Corridor area of Gansu Province from 2006 to 2010, and to provide theoretical basis for surveillance, prevention and control of Japanese B in Hexi Corridor area. Methods 574 cases of meningitis syndrome at county level and above in 8 cities and districts (counties) in Hexi 5 cities were investigated and analyzed retrospectively. the results showed that 574 cases of meningitis and meningitis occurred in 8 cities and above in Hexi city. Results viral meningitis was the main case in 574 cases of meningitis, accounting for 75.09%. Children under 15 years old were the most common, accounting for 44.60%. Most of them were students, farmers, kindergarten and diasporic children. The main clinical manifestations were headache, nausea, mental malaise, fever, vomiting and dizziness, and the incidence of headache in patients with tuberculosis meningitis was significantly higher than that in patients with viral meningitis and suppurative meningitis (P 0.05), and the main clinical manifestations were headache, nausea, mental malaise, fever, vomiting and dizziness, and the incidence of headache in patients with tuberculosis meningitis was significantly higher than that in patients with viral and suppurative meningitis (P 0.05). The incidence of neurotic symptoms in patients with suppurative meningitis was significantly higher than that in viral meningitis and tuberculosis meningitis (P 0.05). Conclusion viral meningitis is the main disease of meningitis syndrome in Hexi Corridor. Combined with historical data, the possibility of Japanese B cases in Hexi Corridor can not be ruled out.
【作者单位】：甘肃省疾病预防控制中心;
【基金】：中华预防医学会公共卫生应用研究与疫苗可预防疾病科研项目“甘肃省河西地区流行性乙型脑炎及相关病媒生物监测”(20102802)
【分类号】：R181.3

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