关键词: 犬咬伤, 流行病学, 狂犬病, 急诊处理

Abstract: Objective To investigate the epidemiological characteristics of dog bites in rural communities and the techniques of emergency wound management for the improvement of therapeutic efficacy. Methods Retrospective statistical analysis was done of the epidemiological data on dog bites and the therapeutic efficacy of emergency wound management in the Yanglin rural community in the 3 years from July, 2007 to June, 2010, with chi-square test used for comparison of the data rates between groups. Results A total of 222 dog bite cases were treated in three years in Yanglin rural community, with all the wounds healed completely. The results of follow-up study showed that none of the cases was affected by rabies and tetanus. Of all the dog bite cases, there were 126 cases affected in summer and autumn and 96 cases in the winter and spring, with the incidence higher in summer and autumn than in winter and spring (χ²＝218.0, P<0.01). Conclusion In rural communities, dog bite is more likely to occur in summer and autumn. Emergency management of the wound with anti-infective interventions is of great importance in the control of wound infection and the prevention of rabies and tetanus.

Key words: Dog bite, Epidemiology, Rabies, Emergency management