摘要
[目的]了解博白县狂犬病疫情流行情况,掌握其流行规律,为制订相应的防制措施提供科学依据。[方法]采用描述性流行病学对狂犬病流行病学个案调查表等资料进行分析。[结果]2002-2006年博白县共报告狂犬病病例69例,年均发病率为0.927/10万,病死率100.00%。各年的发病率分别为0.608/10万、1.339/10万、1.005/10万、0.468/10万、1.212/10万,差异无统计学意义（P〉0.05）。其中,江宁、宁潭、沙河、博白镇、沙陂、亚山、英桥7个乡镇的报告发病数为36例,占52.17%;男性46例,占66.67%;≤15岁发病30例,占43.48%;农民37例,占53.62%;伤口暴露部位为上肢33例,占47.83%;未进行规范伤口处理46例,占66.67%;未注射狂犬疫苗54例,占78.26%;未注射抗狂犬病毒血清或人抗狂犬病免疫球蛋白67例,占97.10%;有完整记录的65例患者中,平均潜伏期为304 d。[结论]加强犬只的综合管理,加大狂犬病防控知识宣传,及时、规范处理犬伤伤口和免疫接种对防控狂犬病发生和流行至关重要。
[Objective]To understand the epidemiological feature of rabies and provide scientific basis for rabies prevention in Bobai county. [Methods]Descriptive epidemiological method was adopted to conduct the statistical analysis of epidemic data of rabies reported from 2002 to 2006 in Bobai. [Results]69 rabies cases were reported, and annual average morbidity was 0. 927/100 000. The incidence of rabies was 0. 608/100 000,1. 399/100 000,1. 005/100 000,0. 468/100 000 and 1. 212/100 000 from 2002 to 2006. The difference of each year＇s morbidity had not statistic significance （ P〉0.05）. The mortalities were 100%. Among the cases,male accounted for 46 cases,accounting for 66.67%. Peasants accounted for 37 cases,accounting fort 53.62% . 33 cases were bitted at upper limb,accounting for 47.83%. For 46 of cases,the wound was not bathed was 66.67%. 54 of cases were not inoculation against rabies,accounting for 78. 26%. 67 of cases had no anti-rabies serum immunization, accounting for 97.10%. Median incubation period was 304 days for the 65 cases with clear history records. [Conclusion]The most important measure is to treat the wound timely and canonically, give vaccine and anti-rabies serum injection. Strengthen the propaganda of knowledge of rabies. According to the regulation of dog control in Bobai county,the number of dogs is to be kept at the lowest level,all the registration dogs must be immunized,and destroying the none-registration dogs are the most essential measures to be taken.
出处
《预防医学论坛》
2008年第5期456-457,共2页
Preventive Medicine Tribune
