急性呼吸道感染性疾病监测研究  

A Surveillance on Acute Respiratory Infection

作　　者：王继斌[1] 王庆云[1] 毕振强[1] 于劫 薛堂渠 吴瑛 王发银 林化雨 刘淑芳 王作沂 宫献升 姜玉亭 

机构地区：[1]山东省卫生防疫站,平邑县卫生防疫站,临沂地区卫生防疫站,高密县卫生防疫站

出　　处：《中华流行病学杂志》1994年第3期141-144,共4页Chinese Journal of Epidemiology

摘　　要：用病史前瞻性研究方法，于１９９１年４月至１９９２年３月对平邑县和高密县四个自然村的１１６４户４３７９人进行了急性呼吸道感染（ＡＲＩ）性疾病监测。共监测４３６５．９２人年，发病率为０．４５４２次／人年，无死亡病例，户发病率６８．９９％，各村发病率０．３７００～０．６３１２次／人年。共监测１８种疾病，以普通感冒、上呼吸道感染、支气管炎发病率最高，具有明显的家庭聚集性。难产、低出生体重、发育差、营养差、吸烟、文盲、人均年收入低、居室通凤差、居室采光差、居住条件差等是与ＡＲＩ发病有关的危险因素。istory prospective methods were employedin this survei llance on acute respiratory infe-ction(ARI) in four villages in Ping Yi and Gao Mi counties.One thousand-one hundred- and sixty four households,4 379 invidiuals with 4365.92 person-years were followed up for ARI.The incidence of ARI was 0.4542 episodes/person-year and the household incidence rate was 68.99% No death case of ARI occurred during the surveillance period.of all the l8 ARl diseases under surveillance the three diseases with highest incidence were common cold,upper respiratory tract infection and bronchitis.These three diseases all showed obvious family clusteting tendency. The incidence of ARI was highest in children under l year of age(1.3403episodes/person year),followed by 2-6 year age-group. The lowest was in 20-29 year age-group(0.2885 episodes/person-year).There was no significant difference between sexes.The ARI incidenee in spring(0.18024 episodes/person-season )was higher than in otber seasons,with the peak between March and April.The hospital atten- ding rate was 90.07%, Among the patients,80.05% received antibiotics,13.06% received hormone,2.10%received intravenous rehydra- tion,ARI accounted for 24.83%of all the out- patients in township hospitals,19·05%,of which were preschool children. For these chil- dren, 10.78%were using antibiotics,23.31% using hormone , 10.06% using intravenous rehyd- ration. of the patients.the risk factors of ARI included low birth weight. difficult labo- ur,malnutrltion,illiteracy,low income,poor ventilation and lighting of the living room, poor livhg condition and cigarette smoking· The results presented will be of great signifi- cance to policy-making of ARl control in Shandong Province.

关 键 词：呼吸道感染 疾病监测 

分 类 号：R560.1[医药卫生—呼吸系统]