太原市传染病医院近二十年疾病谱变迁分析及防治策略的建议  

Disease patterns changes and suggestions of control strategy in the Infectious Diseases Hospital of Taiyuan in recent twenty years

作　　者：刘宝芳[1] 顾伟玲[2] 王霞[1] 

机构地区：[1]山西省太原市第三人民医院,太原市030012 [2]太原市第二人民医院

出　　处：《中华实验和临床感染病杂志（电子版）》2012年第2期45-49,共5页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

摘　　要：目的分析近20年太原市传染病医院住院病种的变化,对常见传染病的防治策略提出相关建议。方法对近20年来该院各种疾病病种及住院人数进行回顾性分析。结果各种肝炎及肝硬化的住院人数始终高居所有住院病种的首位;细菌性痢疾从上世纪90年代至21世纪初、中期一直居住院病种的第2位,但2007年以后该病种住院人数明显下降;麻疹、流行性腮腺炎、猩红热、水痘等呼吸道传染病一直是该院主要的住院病种;布鲁菌病住院人数近12年(1999～2010年)呈上升趋势;自2008年以来手足口病成为该院住院的主要病种之一;甲型H1N1流感为2009年新发传染病。结论病毒性肝炎、肝硬化是威胁人类健康的主要传染病;细菌性痢疾自2007年以后住院人数明显下降;麻疹、水痘、流行性腮腺炎等呼吸道传染病在近20年来一直是威胁婴幼儿健康的主要传染病;2008年新增的手足口病也威胁婴幼儿童健康,是引起突发卫生公共事件的常见传染病;而针对布鲁菌病发病人数逐年上升的严峻形势,临床诊疗中应给予重视。Objective To analyze the change of diseases patterns in our hospital in recent twenty years and to provide suggestions on the control strategy of infectious diseases. Methods The types of the diseases and the number of corresponding patients in the hospital in the last two decades were statistically analyzed, retrospectively. Results The number of patients with hepatitis and liver cirrhosis always rank as the top of all the diseases; bacterial dysentery ranked to the second from the 1990s to early and medium of 21st century, but cases with bacterial dysentery declined significantly since 2007. Measles, mumps, chicken pox, scarlet fever which belong to respiratory infectious diseases were the main kinds of diseases; patients with brucellosis increased during the recent 12 years （1999-2010）; Since 2008 hand-foot-and-mouth disease became one of the main kinds; Influenza A （H1N1） became a new infectious disease since 2009. Conclusions Viral hepatitis and liver cirrhosis are the main infectious diseases which threaten to people’s health. Patients with bacterial dysentery declined significantly since 2007. Measles, mumps, chicken pox, scarlet fever threatened the children’s health during the recent 20 years,so the immunization measures and immune adjustment strategies should be taken. Since 2008 hand-foot-and-mouth disease is an immerging common infectious disease triggering some public health emergencies. The number of patients with brucellosis is rising year by year which should be paid more attention to.

关 键 词：传染病 防治策略 

分 类 号：R181.3[医药卫生—流行病学]