2005~2015年济南市消化道传染病流行病学分析

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目的了解济南市消化道传染病的发病情况,为预防控制消化道传染病防治提供依据。方法收集2005~2015年济南市消化道传染病监测资料进行统计分析。结果 2005~2015年济南市共报告消化道传染病病例17 099例,死亡22例,年均发病率为26.34/10万,死亡率为0.029/10万。发病率呈显著下降趋势,不同年份发病率差异有统计学意义(P<0.01)。男性发病率(16.16/10万)高于女性(10.78/10万)。全市10个区县发病率存在显著差异(P<0.01),发病率最高的是市中区(31.85/10万),发病率最低的是济阳县(8.92/10万)(P<0.01)。发病种类以细菌性痢疾、肝炎(未分型)、戊肝居多,菌痢发病数居首位。7、8月份为消化道传染病高发期。发病人群中0~5岁发病率较高,尤其是1岁以下婴幼儿;不同职业人群中,散居儿童、农民、学生发病率较高。结论消化道传染病以夏秋季发病为主,婴幼儿和散居儿童为消化道传染病发病的重点人群,不同地区发病有差异。 Objective To understand the incidence of gastrointestinal diseases in Jinan and provide evidence for the prevention and control of digestive tract diseases. Methods The data of gastrointestinal infectious diseases surveillance in Jinan from 2005 to 2015 were collected for statistical analysis. Results A total of 17 099 cases of gastrointestinal diseases were reported in Jinan from 2005 to 2015, with 22 deaths. The average annual incidence was 26.34 / 100 000 and the death rate was 0.029 / 100 000. The incidence showed a significant downward trend, the incidence of different years was statistically significant (P <0.01). The incidence of males (16.16 / 100,000) was higher than that of females (10.78 / 100,000). The incidence of 10 districts and counties in the city was significantly different (P <0.01). The highest incidence was in downtown area (31.85 / 100000) and the lowest incidence was in Jiyang County (8.92 / 100000) (P <0.01) . The incidence of bacterial dysentery, hepatitis (not sub-type), hepatitis E majority, the incidence of dysentery ranks first. July and August for the high incidence of gastrointestinal diseases. The incidence of 0 to 5-year-old population is higher, especially infants under 1 year old; different occupational groups, diaspora, peasants, high incidence of students. Conclusions Digestive tract diseases mainly occur in summer and autumn. Infants and diasporas are the most important group of people with digestive tract infectious diseases. There are differences in incidence between different regions.
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