东莞基孔肯雅热确诊病例的调查分析  

Investigation of Confirmed Cases with Chikungunya Fever in Dongguan

作　　者：林炳亮[1] 谢冬英[1] 翟洁卿[2] 黄育波[2] 高志良[1] 

机构地区：[1]中山大学附属第三医院感染科,广东广州510630 [2]广东东莞市人民医院感染科,广东东莞523018

出　　处：《中山大学学报（医学科学版）》2011年第2期208-212,共5页Journal of Sun Yat-Sen University:Medical Sciences

摘　　要：【目的】分析东莞地区基孔肯雅热的流行特点,为防控该病提供借鉴。【方法】现场调查92例确诊为基孔肯雅热的患者,分析该病社区聚集流行的人口学、环境学及流行时间的特点。【结果】92例患者中男性占46.7%,15～60岁年龄段患者占65.2%,疫区处于城乡结合部,为热带亚热带季候风地区,流行初期布雷指数为77,流行末期降至5以下;病例集聚于1社区,占总发病患者的70.7%,疫情流行半径在5公里以内;患者发热,关节痛,皮疹的发生率分别为95.1%,82.9%,75.6%。【结论】基孔肯雅热流行具有社区聚集性,疫区的亚热带气候及布雷指数有利于该病的流行,发热、关节痛和皮疹是该病的主要特征。[Objective]To analyze epidemic characteristics and clinical features of Chikungunya fever outbreak in Dongguan,providing references for prevention and control of the disease.[Methods] Field investigations was carried out to analyze ninety-two patients with Chikungunya fever in the demographic,environmental and temporal characteristics of the outbreak.[Results]There were totally 92 patients reported,of which 46.7% were male and 65.2% were aged 15 ～ 60.The epidemic community was located in the suburb of city with sub-tropical monsoon climate.The Breteau Index was 77 in the initial stage of the outbreak,and dropped down 5 at final phase.70.7% of the patients were clustered in Number 1 community,and were all distributed within a radius of 5 km.Patients with fever,arthralgia,and rash rates were 95.1%,82.9%,and 75.6%,respectively.[Conclusions]Chikungunya fever outbreak tends to be community-clustered.The sub-tropical climate and high Breteau Index are contributable to outbreak of CHIKV.The main manifestations of chikungunya are fever,arthralgia,and rash.

关 键 词：基孔肯雅热/临床 流行 

分 类 号：R512.8[医药卫生—内科学]