南华县2005~2007年流行性腮腺炎流行病学研究.docVIP

南华县2005~2007年流行性腮腺炎流行病学研究【摘要】 目的 分析南华流行性腮腺炎疫情动态，遏制流行性腮腺炎的流行。方法 采用流行病学的回顾性调查法，对南华县3年流行性腮腺炎的流行特征进行分析。结果 2005~2007年南华县共登记流行性腮腺炎143例，占法定传染病的12%。全年均有发病，以冬春为主，农村发病明显高于城市，城乡之比0.43：1，在幼儿园、小学、中学时有多发、爆发的倾向。在143余例病例中有发热113余例，腮腺肿大116余例，颌下腺肿大39例，并发症有67例，其中前3位为脑炎 37 例(55.22%)，脑膜炎13例(19.40%)，胰腺炎炎 10 例(14.93%)，男性患病率高于女性，男女比率为2：1，以16岁以下人群发病为主，占该病的96.09%，78.34%的病例集中在6~12岁的年龄组，62.47%的患者是小学生。结论 6~12岁的儿童，尤其是农村此年龄段的儿童是实施腮腺炎疫苗或联合疫苗免疫接种控制该病的重点。 【关键词】 流行性腮腺炎；流行病学分析；流行病学回顾性调查 EpidemiologicalAnalysis of Epidemicparotitis(mumps)from 2005 to 2007 in Nanhua city MA Dehai,LI Peichan.The disease prevention center of Yunnan Province, Yunan 650228,China 【Abstract】 Objective The present study was designed to probe into dynamics of epidemic Parotitis(mumps)from 2005 to 2007 in the city Nanhua to provide information for the Contrpl of the epidemic.Methods Aretrospectiveepidemiolojical investigation was conducted to understandthe epidemiologicalfeaturesofthe reported cases in the 3consecutiveyearsinthe cityofNanhua.Results Therewere143registeredcasesofmumpsfrom2005to2007in thecity,accountingfor 12%ofthereportednotifiablediseases.Thediseasemayoccurat any timeoftheyear,but it hasadistinctpatternof winterandspringseasonality.The incidenceis significantlyhigherin ruralareathanin citieswitharatioof1:0.43.Occurrence ofmultipleand fulminantepidemics of thediseasewasseen innurseries,Eiementary schoolsandsecondaryschools,ofthe143 cases of mumps,113 caseshad fever; 116 caseshad swelling of theparotidgland; and39cases had swelling of the Submaxillarygland.Complicationsoccurredin 67 casesinall,thetop threebeingencephalitis(37,55.2%),meningitis(13,19.4%),andpancreatitis(10,14.93%),Theprevalencerateofthediseasewashigherinmalesthanin Femaleswiththeratiobeang2:1.Andchildrenunder16 yearsofagewerepredominantlyaffected,accountingfor96.09%of allthecases,with 78.34%fallingintotheagegroupof610yearsandprimaryschoolstudentsconstituting62.47%of allthepatients.Conclusion Greaterpriorityshouldbe placedonimmu