河北571例狂犬病病例个案调查分析.pdfVIP

河北省 571 例狂犬病病例个案调查分析 魏亚梅,韩旭,张艳波,韩占英,齐顺祥,李琦* 单位 摘要: 目的 分析河北省571例狂犬病病例个案资料，探讨狂犬病防治中存在的问 题，为河北省狂犬病防制提供依据。方法 采用描述性研究方法对河北省571例 狂犬病病例个案资料进行分析。结果 全年各月均有病例报告，以4-10月份较多,占 70.71%；男性多于女性，男女比例为2.68:1；职业以农民为主，占81.96%；41- 60岁年龄组发病最多，占45.69%。92.12%的病人通过犬感染，潜伏期中位数为 67天。受伤部位以手部为主，占35.90%。暴露部位越靠近头颈部，潜伏期越短。 仅44.31%的病例暴露伤口进行了处理。接种狂犬疫苗的病例占28.55%；注射狂 犬病人免疫球蛋白的病例占Ⅲ级暴露人数的21.09%。结论 河北省犬仍是狂犬病 的主要传染源，加强犬类管理，加大宣传、及时就地规范处理暴露伤口和接种 疫苗是防制狂犬病的有效措施。 关键词:狂犬病;个案调查;分析 Analysis for the 571 Cases of Rabies in Hebei Province WEI Ya-mei, HAN Xu, ZHANG Yan-bo Hebei Center for Disease Control and Prevention,Shijiazhuang 050021, China Abstract:Objective To analyze the 571 individual case of rabies in Hebei province, and to explore the related factors in the prevention and treatment of rabies in order to provide scientific Corresponding author: LI Qi, E⁃mail: liqinew@126.com 基金:河北省医学科学研究重点课题 ） 作者简介:魏亚梅(1980-)，女，汉族，河北安国，硕 ，主管医师，从事自然疫源性疾病防制工 作。 *通讯作者:李琦，男，博 ，主任医师，硕 生导师。河北省疾病预防控制中心(石家庄市槐安 东路97号050021) E-mail：liqlnew@126.com basis for making the strategy of prevention and treatment of rabies.Methods The descriptive method was used to analyze the 571 cases of rabies in Hebei province,and the data were statistically analyzed. Results Every month in all the years had cases of rabies, and most of cases occurred during 4～10 months, which accounted for 70.71%. Males were more than females, and most cases were farmers, which accounted for 81.96%. The most cases were in the age group of 41-60 years, which accounted for 45.69%. 92.12% of patients were infected through dogs, and median of latent period was 67 days. The injuried sites were located mainly in hands, which accounted for 35.90%. The nearer the exposure sites to head and neck position, the shorter the latent period. Only 44.31% of patients treated the exposure wounds, 28.55% of patients were inoculated rabi