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目的了解分析平江县近两年来动物咬伤者狂犬疫苗接种情况,探讨咬伤后处置方法,采取综合性预防措施,为有效遏制狂犬病疫情提供参考。方法收集两年来门诊病历,进行资料统计分析。结果在本门诊就诊的9845例暴露后伤者经规范的伤口处置、疫苗接种,无一例发生狂犬病。咬伤动物以犬为主占86.68%,头部、躯干咬伤以10岁以下儿童所占比重最高,经χ2检验,与其他各年龄组比较差异均有统计学意义。结论动物咬伤后应按规范清洗伤口、及时、全程、足量接种狂犬疫苗,加强狂犬病预防控制的宣传教育,加强儿童监护,将预防接种费用纳入新型农村合作医疗补偿是提高暴露后疫苗接种率,降低狂犬病发病率的有力措施。值得深入推广。
Objective To understand and analyze the vaccination of rabies in animal bites in Pingjiang County in recent two years and to explore the methods of post-bite disposal and take comprehensive preventive measures to provide reference for effectively controlling the epidemic of rabies. Methods Outpatient records were collected over the past two years for statistical analysis. Results In this outpatient clinic after the treatment of 9845 cases of exposure to the injured by the standard treatment, vaccination, rabies cases without any case. Bite animals accounted mainly for dogs accounted for 86.68%, head, trunk bite to the highest proportion of children under 10 years old, by χ2 test, compared with other age groups were statistically significant. Conclusion Animal bites should be cleaned according to the regulations, timely, full and adequate vaccination of rabies, to strengthen the publicity and education of rabies prevention and control, to strengthen the child custody, the cost of vaccination into the new rural cooperative medical insurance is to increase the post-exposure vaccination rate , A strong measure to reduce the incidence of rabies. Worth further promotion.