中国媒介生物学及控制杂志 ›› 2009, Vol. 20 ›› Issue (2): 151-153.

• 论著 • 上一篇    下一篇

贵州省狂犬病高发地区影响因素调查分析

余春1, 王定明1, 庄妍1, 李昭毅 1, 周敬祝1, 黄艳1, 刘波2, 张董2, 许真2,
唐青3, 冯子健2, 梁明江4, 杨志祥4, 李天勇4, 苏娜4, 王蕊4, 王浪4, 曾亚旭4   

  1. 1 贵州省疾病预防控制中心传染病防治研究所病毒科(贵阳 550004); 2 中国疾病预防控制中心; 3 中国疾病预防控制中心病毒病预防控制所; 4 镇宁县疾病预防控制中心
  • 收稿日期:2008-10-14 出版日期:2009-04-20 发布日期:2009-04-20
  • 作者简介:余春(1977-),男,医师,从事狂犬病现场流行病学和实验室研究。

Investigation of the influence factors in areas where rabies rage in Guizhou province

 YU Chun, WANG Ding-Ming, HUANG Yan[Author]) AND 1[Journal]) AND year[Order])" target="_blank">ZHUANG Yan, LI Zhao-Yi, ZHOU Jing-Zhu, HUANG Yan, LIU Bo, ZHANG Dong, XU Zhen, TANG Qing, FENG Zi-Jian, LIANG Ming-Jiang, YANG Zhi-Xiang, LI Tian-Yong, SU Na, WANG Rui, WANG Lang, ZENG Ya-Xu   

  1. Guizhou Center for Disease Control and Prevention, Guiyang, Guizhou 550004, China
  • Received:2008-10-14 Online:2009-04-20 Published:2009-04-20

摘要:

  【摘要】 目的 了解贵州省狂犬病高发地区的影响因素,为制定适合农村地区的有针对性干预措施提供依据。方法
采用多阶段抽样方法,所有调查数据用EpiData软件录入,用Excel 2003软件进行统计分析。结果 近年镇宁县狂犬病发病严重,2005年和2006年狂犬病发病率分别为6.16/10万和5.19/10万,病例暴露主要由犬伤所致。养犬数量大,导致人群犬伤暴露率较高,2006年为6.47%,学生人群暴露率(10.58%)与农民暴露率(5.05%)差异有统计学意义(χ2=36.57,P<0.001)。暴露人群中有31.40%暴露者未到医疗机构处理、35.41%未接种狂犬病疫苗、Ⅲ度暴露者中仅4.26%使用了狂犬病免疫球蛋白,村民狂犬病防治知识的知晓率低。结论 被调查地区饲养犬密度高而免疫率低、人群暴露率较高和人群暴露后处置率较低等是狂犬病高发的主要因素。

关键词: 狂犬病, 影响因素, 调查

Abstract:

  【Abstract】 Objective To investigate the influence factors in areas where rabies raged in Guizhou province, and provide the evidence for the establishment of focused intervention measure suitable for the rural areas. Methods A multistage sampling method was used in this study and all the data were analyzed by Excel 2003 after logging data with Epi Data. Results In recent years, the incidence of rabies in Zhenning county was very serious. The incidence rates of rabies in 2005 and 2006 were 6.16/10 thousand and 5.19/10 thousand respectively, which mainly caused by bite of dogs. Because of the large number of the dogs, the injury rate of the crowd was also higher. It was 6.47% in 2006, and there was significant difference between exposure rate of students (10.58%) and that of farmers (5.05%)(χ2=36.57, P<0.001). About 31.40% exposed crowd were not done the medical treatment, and 35.41% exposed crowd without inoculation rabies vaccines, only 4.26% of Ⅲ° exposed crowd with rabies immunoglobulin. Villagers knew less about the knowledge of rabies prevention and control. Conclusion The main factors leading to the rage of rabies were large number of dogs, low immunization rate of the crowd, high exposure rate of the public and low treatment rate of exposed crowd in the investigated districts.

Key words: Rabies, Influencing factors, Survey

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