摘要
目的探讨济宁市2001～2003年流行性腮腺炎(以下简称流腮)疫情动态,控制流腮传播蔓延。方法采用流行病学回顾性调查方法,对济宁市3年流腮报告病例的流行特征进行分析。结果2001～2003年全市共登记流腮病例1431例,占法定传染病报告数的12.70%。全年均有发病,以冬春为主,农村发病明显高于城市,城乡之比为0.41:1,在托儿园所、小学、中学时有多发、暴发疫情。1431例流腮病例中有发热病例1127例,腮腺肿大者1163例,颌下腺肿大者389例,并发症共665例,其中前3位为脑炎372例(55.94%),脑膜炎132例(19.85%),胰腺炎95例(14.29%);男性患病率明显高于女性,男女性别比为2.59:1,以15岁以下儿童发病为主,占该病的96.09%,78.34%的病例集中在6～10岁年龄组,62.47%的患者是小学生。结论6～10岁学龄儿童及农村人口是实施免疫控制策略的重点。
Objective The present study was designed to probe into dynamics of epidemic parotitis （mumps） from 2001 to 2003 in the city of Jining to provide information for the control of the epidemic. Methods A retrospective epidemiological investigation was conducted to understand the epidemiological features of the reported cases in the 3 consecutive years in the city of Jining. Results There were 1431 registered cases of mumps from 2001 to 2003 in the city , ac- counting for 12.70% of the reported notifiable diseases. The disease may occur at any time of the year, but it has a distinct pattern of winter and spring seasonality. The incidence is significantly higher in rural area than in cities with a ratio of 1：0.41. Occurrence of multiple and fulminant epidemics of the disease was seen in nurseries, elementary schools and secondary schools. Of the 1431 cases of mumps, 1127 cases had fever; 1163 cases had swelling of the parotid gland; and 389 cases had swelling of the submaxillary gland. Complications occurred in 665 cases in all, the top three being encephalitis （372, 55.94% ）, meningitis （132, 19.85% ） and pancreatitis （95,14.29%）. The prevalence rate of the disease was higher in males than in females with the ratio being 2.59：1, And children under 15 years of age were predominantly affected, accounting for 96.09%of all the cases, with 78.34% falling into the age group of 6-10 years and primary school students constituting 62.47% of all the patients. Conclusion Greater priority should be placed on immune control of the disease for school age children of 6-10 years and rural population.
出处
《疾病监测》
CAS
2005年第11期584-586,共3页
Disease Surveillance
关键词
流行性腮腺炎
流行病学分析
流行病学回顾性调查
Epidemic parotitis （mumps）
Epidemiological analysis
Retrospective epidemiological investigation
