河南省农村社区级腹泻病及细菌性痢疾发病率调查  

Investigation and analysis on diarrhea and bacillary dysentery incidence in rural areas,Henan

作　　者：李孟磊[1] 黄丽莉[1] 聂轶飞[1] 寰书青 赵嘉咏[1] 夏胜利[1] 

机构地区：[1]河南省疾病预防控制中心传染病所,河南郑州450016 [2]睢县疾病预防控制中心

出　　处：《现代预防医学》2013年第4期750-752,共3页Modern Preventive Medicine

基　　金："艾滋病和病毒性肝炎等重大传染病防治"科技重大专项细菌性传染病病原谱流行规律及变异研究(2009ZX10004-203)

摘　　要：目的对河南省睢县农村2010年5～11月腹泻病发病率及细菌性痢疾发病率进行社区级调查,掌握腹泻病和细菌性痢疾的实际发病率,分析痢疾的菌型分布,研究近年菌型变迁。方法通过主动搜索,对3个村的所有腹泻病病例进行登记和采样,分离鉴定志贺菌,计算腹泻病和细菌性痢疾发病率,分析菌型分布。结果确定常住居民3488人,腹泻病发生1114人次,分离到细菌性痢疾34株,腹泻病发病率31.94%,细菌性痢疾发病率0.97%。宋内菌占55.88%,福氏菌44.12%。结论河南省睢县农村腹泻病发病率高于全国水平,细菌性痢疾发病率是传染病报告的发病率的18倍,细菌性痢疾菌型可能正发生变化。OBJECTIVE To investigate the morbidity of diarrhea disease and bacterial dysentery in rural area of Suixian, Henan Province from May to November in 2010 at the community level, to assess morbidity of the these two diseases, to ana- lyze the distribution of dysentery bacterial type, and to examine the transition of bacterial type recent years, METHODS Through proactive search, all the case of diarrhea disease in three villages were registered and sampled. Shigella was separated and identified. Morbidity of diarrhea disease and bacterial dysentery were calculated. The distribution of bacterial type was ana- lyzed. RESULTS There were 3 488 permanent residents. 1 114 person-time were suffered from diarrhea disease. 34 case of bacterial dysentery were separated. The morbidity of diarrhea disease was 31.94%. The morbidity of bacterial dysentery was 0.97%; Sh.sonnei takes up 55.88% and Sh.flexneri takes up 44.12%. CONCLUSION The morbidity of diarrhea disease in rural area of Suixian in Henan Province is higher than the countrywide level. The morbidity of bacterial dysentery is eighteen times of that of reports on infectious diseases. The bacterial dysentery type is changing.

关 键 词：腹泻 细菌性痢疾 发病率 农村地区 

分 类 号：R183.4[医药卫生—流行病学]