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目的了解章丘市肾综合征出血热(HFRS)的流行特征,为今后制定防治工作策略提供依据。方法对2004~2010年章丘市HFRS监测与调查资料进行分析。结果 2004~2010年累计报告HFRS病例190例,年均发病率为2.72/10万。HFRS发病率,2004~2010年分别为7.82/10万、3.21/10万、2.10/10万、1.30/10万、1.90/10万、1.39/10万、1.30/10万。2004~2010年年均发病率,南部山区为4.59/10万,中东部丘陵地区为2.71/10万,西北部平原地区为1.67/10万;男性为3.93/10万,女性为1.51/10万;9~19岁为6.19/10万,20~34岁为3.38/10万,35~44岁为3.93/10万,45~59岁为3.51/10万,≥60岁为6.68/10万。发病的季节性不明显。190例病人中,学生占3.63%,农民占81.05%,其他人员占15.32%;轻型占80.00%,中型占17.89%,重型占1.05%,危重型占0.52%,死亡1例;医疗单位报告临床诊断病例12例,实验室诊断病例178例。经血清学复核的32例中,Ⅰ型占3.12%,Ⅱ型占90.63%,未分型占6.25%。结论 2004~2010年章丘市HFRS发病率逐年下降,血清学分型主要是Ⅱ型。
Objective To understand the epidemiological characteristics of hemorrhagic fever with renal syndrome (HFRS) in Zhangqiu City, and to provide evidence for future prevention and treatment work. Methods The data of HFRS monitoring and investigation in Zhangqiu City from 2004 to 2010 were analyzed. Results A total of 190 HFRS cases were reported from 2004 to 2010, with an average annual incidence of 2.72 / 100 000. The incidence of HFRS was 7.82 / 100,000, 3.21 / 100,000, 2.10 / 100,000, 1.30 / 100,000, 1.90 / 100,000, 1.39 / 100,000, and 1.30 / 100,000 respectively from 2004 to 2010. The average annual incidence was from 2004 to 2010, with 4.59 / lakh in the southern mountainous area, 2.71 / lakh in the hilly area in the central and eastern regions, and 1.67 / lakh in the plain of the northwestern region; 3.93 / lakh for males and 1.51 / lakh for females ; 6.19 / 100,000 at 9-19 years, 3.38 / 100,000 at 20-34 years, 3.93 / 100,000 at 35-44 years, 3.51 / 100,000 at 45-59 years and 6.68 / 100,000 at 60 years of age. Seasonal onset is not obvious. Of the 190 patients, 3.63% were students, 81.05% were farmers, 15.32% were other personnel, 80.00% were light, 17.89% were medium, 1.05% were heavy, 0.52% were critical and 1 died. 12 cases were diagnosed and 178 cases were laboratory diagnosed. Among the 32 cases reviewed by serological method, type I accounted for 3.12%, type II accounted for 90.63%, typeless accounted for 6.25%. Conclusion The incidence of HFRS in Zhangqiu City decreased from 2004 to 2010, and the serological type was mainly type Ⅱ.