西安市某小学197例流行性腮腺炎疫情调查分析  

Survey and analysis of 197 cases of mumps in a primary school in Xi'an

作　　者：路军梅[1] 庄稼[1] 高路[1] 于学文[2] 王春莉[3] 孙朝阳[1] 

机构地区：[1]西安交通大学医院,陕西西安710049 [2]西安交通大学第一附属医院预防保健科,陕西西安710061 [3]西安交通大学附属小学医务室,陕西西安710049

出　　处：《中国妇幼健康研究》2014年第5期858-860,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的分析流行性腮腺炎的流行病学分布,探讨流行性腮腺炎的各项防控措施,对防控效果进行初步评价,为下一步的防控工作提供科学依据。方法收集2011年10月至12月西安市某小学流行性腮腺炎病例资料,进行流行病学调查,制定控制措施。结果全校2 450例学生中197例发病,发病率为8.05%。发病率从高至低依次为三年级14.94%、二年级10.38%、一年级7.88%、五年级6.56%、六年级5.45%、四年级3.65%。2 007例接种了腮腺炎疫苗的66例学生本次发病,占发病人数的33.5%,发病率为3.28%;443例未接种腮腺炎疫苗的131例学生本次发病,占发病人数的66.5%,发病率为29.8%,发病率显著高于已接种疫苗的学生(x^2=339.00,P<0.05)。在采取了消毒、隔离、接种疫苗等措施后再无新增病例,197例患者痊愈,疫情得到有效控制。结论制定合理及时有效的防控措施非常重要。Objective To analyze the epidemiology of mumps, explore the measures and assess the results of control and prevention, so as to provide scientific evidence for further work.Methods The cases of mumps were collected in a primary school from October to December in 2011, and their epidemiologic features were studied to make measures for control and prevention.Results Among 2 450 students, 197 pupils were found with mumps, and the incidence was 8.05%.The incidence was 14.94%, 10.38%, 7.88%, 6.56%, 5.45% and 3.65%, respectively in grade 3, 2, 1, 5, 6, 4.There were 66 （ 33.5%） infected pupils in 2 007 ones who had inoculated mumps vaccine, and the incidence was 3.28%.Among the students not receiving mumps vaccine, 131 （ 66.5%） were infected, and the incidence was 29.8%, which was significantly higher than that in vaccinated students （χ2 =339.00, P〈0.05）.No new patient was found after taking measures of disinfection, isolation and vaccination.All of 197 patients recovered, and the epidemic situation was controlled.Conclusion It is very important to make effective measures in time.

关 键 词：流行性腮腺炎 预防 公共卫生 流行病学 

分 类 号：R181.8[医药卫生—流行病学]