2010-2013年北京市西城(北)区动物致伤者流行病学分析  

Epidemiological analysis of patients injured by animals in Xicheng(north) district of Beijing,2010-2013

作　　者：姜帆[1] 孙木[1] 王庆[1] 史淑芬[1] 

机构地区：[1]北京市西城区疾病预防控制中心,100120

出　　处：《首都公共卫生》2014年第6期266-269,共4页Capital Journal of Public Health

摘　　要：目的 了解2010-2013年北京市西城北区动物致伤者流行病学特征,为进一步防控狂犬病提供科学依据.方法 采用描述性流行病学方法,对2010-2013年28 165名狂犬病免疫预防门诊就诊并接种疫苗者的个案资料进行统计分析.结果 动物致伤人数呈逐年下降趋势,主要集中在5-8月,高峰在6月;男女性别比为0.81：1;20 ～29岁青年及在职人员是动物致伤的主要群体;手上部位主要为手部（59.87％）,其次为下肢（24.43％）;伤后24 h内就医者占77.66％;Ⅲ级暴露的9 008人中仅有32.28％注射人免疫球蛋白.伤人动物主要为犬（75.54％）和猫（18.94％）;家养动物中超过三分之二的动物1年内未进行免疫接种.结论 西城北区居民对狂犬病的认识较强,有一定自我保护意识,但对犬、猫等动物的管理有待进一步加强,对群众预防狂犬病的健康教育仍有待继续提高.Objective To understand the epidemiological characters of patients injured by animals in Xieheng （north） District, and to provide scientific evidenee for rabies control. Methods Data of 28 165 patients who visited rabies clinics and received vaccinations during 2010 -2013 were selected and analyzed by descriptive epidemiological methods. Results Patients injured by animals were reduced by years during the study period. Most cases appeared between May and August and the peak incidence occurred in June. The sex ratio of male to female was 0.81：1. Most patients were 20 -29 years old young people and workers. The main injured parts of the body were hand （59.87%） , followed by leg （24. 43% ）. 77.66% of the patients received treatment within 24 hours. Among Ill-level exposure patients, only 32.28% were immunized with rabies immunoglobulin. Dogs （75.54%） and eats （ 18.94% ） were the main attacking animals. More than two thirds of domestic animals were unvaccinated within a year. Conclusion Residents in Xicheng （north） District had the knowledge and the selfprotection awareness of rabies. However, the management of animals and education of rabies prevention still need to be improved.

关 键 词：动物致伤 狂犬病 流行病学 

分 类 号：R646[医药卫生—外科学]