天津地区2006～2008年麻疹临床及流行病学特征分析  

ANALYSIS OF THE CLINICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF PATIENTS WITH MEASLES IN TIANJIN FROM 2006 TO 2008

作　　者：董红筠[1] 宓余强[1] 王敬[1] 刘虹[1] 张声捷[1] 王虹[1] 李响[1] 刘莉[1] 陈盟[1] 陈炜[1] 

机构地区：[1]天津市传染病医院中西医结合科,天津300192

出　　处：《现代预防医学》2009年第7期1358-1359,共2页Modern Preventive Medicine

摘　　要：[目的]探讨天津地区近年麻疹流行病学和临床特征。[方法]对2006年12月～2008年5月天津市传染病医院1876例麻疹住院病例的临床及流行病学资料进行回顾性分析。[结果]1876例麻疹病例中﹤8月龄的婴儿1302例(69.4%),﹥30岁成人患者374例(19.9%);有264例为外地发病,在天津发病的1612例患者中:外来人口1076例(66.7%),3～5月份发病例数1313例(70%),其中71例(3.8%)可以确定接种过麻疹疫苗。临床诊断麻疹合并肺炎1200例(64%),肝功能异常1107例(59%),心肌酶升高1744例(93%),麻疹特异性IgM抗体阳性1331例(71%)。[结论]天津地区近年麻疹病例明显增多,呈暴发流行趋势,流行季节为3～5月份,患者绝大部分未接种过麻疹疫苗,高发年龄为﹤8月龄婴儿,预防接种应予调整。肺炎、肝功能损害和心肌损害仍是麻疹的常见并发症,麻疹特异性抗体阳性率不高。[Objective] To investigate the epidemiologieal and clinical characteristics of patients with measles in Tianjin area in recent years. [ Methods ] Retrospectively analyze the clinical-epidemiologieal data of 1 876 hospitalized measles cases in Tianjin Infectious Diseases Hospital from December 2006 to May 2008. [ Results] In a total of 1 876 hospitalized patients with measles, 1 302 eases （69.4%） were infants younger than 8 months and 374 cases （19.9%） were adults older than 30 years. In these hospitalized cases, 264 patients got infection in foreign provinces while 1 612 eases got infection in Tianjin area. Among these 1 612 cases, 1 076 patients （66.7%） were floating population.There were 1 313 eases （70%） falling ill from March to May. 71 patients （3.8%） certainly had their vaccination against measles.1 200 patients （64%） were complicated with pneumonia.1 107 cases （59%） were found that they had dysfunction of liver. Myocardial enzyme of 1 744 cases （93%） increased. 1 331 eases （71%） were positively detected out measles specific IgM antibody. [ Conclusion ] The incidence of measles in Tianjin area is extensively higher than before in recent years, it＇s a trend to break out. The prevalent seasons are from March to May. Most of patients don＇t have their vaccination against measles. The group with highest prevalence rate is cases younger than 8 months.The vaccination against measles should be regulated. The most common complications of measles are pneumonia, liver and myocardial damage. The positive rate of measles specific IgM antibody isn＇t higher.

关 键 词：麻疹 临床流行病学特征 天津 

分 类 号：R511.1[医药卫生—内科学]