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[目的]了解犬咬伤Ⅲ度暴露患者对狂犬病相关知识及防治措施的认知情况,探讨其影响因素并提出对策,针对性地进行防治宣教。[方法]采用问卷调查方式,对606名犬咬伤Ⅲ度暴露来我院犬伤门诊就诊的患者进行狂犬病相关知识、伤口处理、预防措施等方面进行现场问卷调查。[结果]606名犬咬伤Ⅲ度暴露患者中,45.21%的病例缺乏对狂犬病的了解,特别是对狂犬病的危害性、严重性认识不足;52.5%的病例不知怎样正确处理伤口和有效预防;70.68%的病例基于经济、认识不足等原因未注射人用狂犬病免疫球蛋白。[结论]有计划、有目的、有针对性地宣传狂犬病的危害性,提高患者的防治意识;加强犬只的管理,做好犬只的“管、免、灭”综合防制措施;提高政府投入的力度,保障犬伤者得到正规治疗。
[Objective] To understand the cognition of rabies-related knowledge and prevention and treatment measures in patients with bitten Ⅲ degree bite, explore the influencing factors and propose countermeasures, and conduct targeted prevention and treatment. [Methods] A questionnaire survey was conducted to investigate 606 rabies-related knowledge, wound treatment and precautionary measures in 606 dogs with bite-wound third degree exposure in our hospital. [Results] 45.21% of the 606 dogs with bitten Ⅲ degree were lack of understanding of rabies, especially the harm and severity of rabies; 52.5% of the cases did not know how to treat the wound and prevent it effectively; 70.68 % Of cases were not injected with human rabies immunoglobulin for reasons of economy, lack of understanding and so on. [Conclusion] There is a planned, purposeful and targeted promotion of the dangers of rabies and the awareness of patients’ prevention and control. The management of dogs is strengthened, and comprehensive control measures of “management, avoidance and elimination” of dogs are made. Increase the intensity of government investment to protect canine wounded received formal treatment.