目的分析阜新市近二十年传染病流行特征和病种变化,为探讨、调整防制策略和措施提供参考依据。方法对1993-2012年原始报表数据进行描述性分析,利用SPSS18.0进行数据录入和统计分析。结果传染病平均报告发病率(以下简称发病率)为169.63/10万,较前二十年明显下降(χ2=154 015.91,P<0.0001)。发病曲线于1996-2000年呈现波峰,主导影响病种为乙型病毒性肝炎(r=0.769,P<0.001)。肺结核、梅毒发病率逐年上升,平均上升幅度分别为9.3%和14.4%。呼吸道、消化道、血源及性传播疾病百分构成均发生了重大变化(P<0.0001),表现为菌痢下降,肺结核、梅毒等性传播疾病上升,布病等自然疫源性疾病也有上升态势。结论近20年来阜新市消化道传染病发病率明显下降;菌痢防制成果显著;肺结核和以梅毒为主的性传播疾病发病率逐年上升,政府和各级部门应调整防治工作重点,制定长远的防治策略和有效的控制措施。 Objective To analyze the epidemiological characteristics and disease changes of infectious diseases in Fuxin city in recent 20 years and provide reference for the study and adjustment of prevention and control strategies and measures. Methods Descriptive analysis of the original report data from 1993 to 2012 was carried out, and the data entry and statistical analysis were carried out by using SPSS18.0. Results The average reported incidence of infectious diseases (hereinafter referred to as morbidity) was 169.63 / lakh, which was significantly lower than that of the previous two decades (χ2 = 154 015.91, P <0.0001). The incidence curve peaked in 1996-2000, and the dominant disease type was hepatitis B (r = 0.769, P <0.001). Tuberculosis, syphilis incidence increased year by year, the average increase of 9.3% and 14.4%. Significant changes occurred in the percentages of respiratory tract, digestive tract, blood and sexually transmitted diseases (P <0.0001), which showed a decrease in bacillary dysentery, an increase in sexually transmitted diseases such as tuberculosis and syphilis, and increased natural focal diseases such as brucellosis situation. Conclusion The prevalence of diarrheal diseases in Fuxin City dropped significantly in recent 20 years; the results of bacillary dysentery control were significant; the incidence of tuberculosis and syphilis-dominated sexually transmitted diseases increased year by year; the government and all levels of government should adjust the focus of prevention and treatment to formulate long- Prevention and control strategies and effective control measures.