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丹东市2010-2015年发热伴血小板减少综合征流行特征分析

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  • 丹东市疾病预防控制中心, 辽宁 丹东 118002
崔荣敏,女,主任医师,副主任,从事流行病防治工作,Email:cuirongmin66@163.com

收稿日期: 2016-08-21

  网络出版日期: 2017-02-20

基金资助

国家科技重大专项(2012ZX10004-209)

Analysis of the epidemic characteristics of severe fever with thrombocytopenia syndrome in Dandong city of Liaoning province, 2010-2015

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  • Dandong Center for Disease Control and Prevention, Dandong 118002, Liaoning Province, China

Received date: 2016-08-21

  Online published: 2017-02-20

Supported by

Supported by the National Science and Technology Major Project of China(No. 2012ZX10004-209)

摘要

目的 分析辽宁省丹东市2010-2015年发热伴血小板减少综合征(SFTS)的流行特征,为制定预防控制措施提供依据。方法 采用描述流行病学方法对丹东市2010-2015年实验室确诊的SFTS病例进行流行特征分析。结果 2010-2015年丹东市共报告SFTS实验室确诊病例101例,死亡5例,病死率为4.95%;患者发病时间主要在5-10月,6-9月为高峰期,分布在5个县(市、区)、37个乡镇,流行区域呈山区丘陵地带向平原地区延伸趋势;2010-2014年,每年病例以男性、中老年和农民为主,2015年农村中青年女性高发;32例患者发病前有明确的蜱叮咬史,2例患者为兄妹关系,有血液接触史;患者以发热、全身酸痛、头痛、乏力、恶心、腹痛、腹泻、关节痛等症状为主。结论 SFTS发病具有明显地域特征和季节性,在丹东市广泛分布,且2015年主要发病人群发生改变,需采取综合防制措施进行预防控制。

本文引用格式

崔荣敏, 于丹梅, 苗长青, 孟祥慧, 刘杨 . 丹东市2010-2015年发热伴血小板减少综合征流行特征分析[J]. 中国媒介生物学及控制杂志, 2017 , 28(1) : 60 -63 . DOI: 10.11853/j.issn.1003.8280.2017.01.016

Abstract

Objective To analyze epidemiological characteristics of severe fever with thrombocytopenia syndrome(SFTS) cases from Dandong city in 2010-2015, and to provide basis for the prevention and control measures. Methods The laboratory-confirmed cases reported by information management system in Dandong city from 2010-2015 were analyzed through descriptive epidemiology. Results From 2010 to 2015, 101 cases of SFTS in laboratory confirmed cases were reported in Dandong city. Of these cases, 5 cases died and the mortality rate was 4.95%. The onset time of the disease was mainly from May to October,and the peak time was from June to September. The cases were distributed in 5 counties(or cities), 37 villages and towns. The prevalent area is from the mountainous and hilly regions to the plain areas. From 2010 to 2014, males, middle-aged or older persons and farmers were the main infected persons each year, and in 2015, middle-aged and young women in the countryside were frequently infected. Thirty-two cases of the disease were once ever bitten by some kind of ticks before the onset, and 2 cases were brother and sister and once had blood contact. The main symptoms were fever, body aches,headache, fatigue, nausea, abdominal pain, diarrhea and joint pain. Conclusion The onset of SFTS has obvious regional and seasonal characteristics and it was widely distributed in Dandong city. Besides, in 2015, the incidence population changed. As a result, comprehensive prevention and control measures should be taken to prevent and control the disease.

参考文献

[1] 中华人民共和国卫生部. 发热伴血小板减少综合征防治指南(2010版)[EB/OL].(2010-09-29)[2016-07-06]. http://www.moh.gov.cn/mohwsyjbgs/s8348/201010/49272.shtml.
[2] 张永振,周敦金,熊衍文,等. 中国淮阳山地区由新蜱传布尼亚病毒引起的出血热[J]. 中华流行病学杂志,2011,32(3):209-220.
[3] 唐晓燕,崔宁,康锴,等. 一起聚集性新布尼亚病毒感染病例的诊断与治疗分析[J]. 中华预防医学杂志,2012,46(2):110-113. DOI:10.3760/cma.j.issn.0253-9624.2012.02.004.
[4] Bao CJ,Qi X,Wang H. A novel bunyavirus in China[J]. N Engl J Med,2011,365(9):862-865.
[5] 李维贤. 辽宁省蜱类的生态地理分布[J]. 昆虫学报,1987,30(2):180-185.
[6] 宋丽华,齐上,庞为,等. 大连市发热伴血小板减少综合征流行病学特征分析及控制对策[J]. 医学动物防制,2012,28(12):1325-1327.
[7] 康锴,唐晓燕,许汴利,等. 河南省2007-2011年发热伴血小板减少综合征流行特征分析[J]. 中华预防医学杂志,2012, 46(2):106-109.
[8] 徐雪华,李金萍,朱金宝,等. 山东省莱州市2011-2013年发热伴血小板减少综合征病例的流行特征分析[J]. 中华疾病控制杂志,2015,19(6):641-643.
[9] 柴程良,孙继民,林君芬,等. 浙江省发热伴血小板减少综合征病例临床与流行病学特征分析[J]. 中国预防医学杂志, 2012,13(12):904-907.
[10] 刘国平,任清明,王峰,等. 东北中朝俄边境地区蜱的生态及防制对策研究[J]. 中华卫生杀虫药械,2006,12(3):208-210. DOI:10.3969/j.issn.1671-2781.2006.03.017.

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