新疆昌吉州56年间甲乙类法定传染病病种变化分析  

Analysis of category change of infectious disease class A and B in Changji prefecture, Xinjiang in 56 years

作　　者：邓亚利[1] 李微丽[2] 马前程[2] 

机构地区：[1]新疆生产建设兵团疾病预防控制中心,乌鲁木齐830002 [2]新疆昌吉回族自治州疾病预防控制中心,新疆昌吉831100

出　　处：《疾病预防控制通报》2016年第3期32-34,共3页Bulletin of Disease Control & Prevention(China)

基　　金：新疆昌吉回族自治州科技局项目(2014S03-02)

摘　　要：目的了解1960—2015年新疆昌吉回族自治州（简称昌吉州）甲乙类传染病病种变化情况,为卫生行政部门制定传染病防控策略提供科学依据。方法收集昌吉州历年传染病疫情报告资料,采用描述流行病学方法分析昌吉州传染病疫情资料。结果 1960—2015年昌吉州报告法定甲乙类传染病23种277 848例,年均发病率453.53/10万,发病率呈下降趋势,不同年代差异有统计学意义（χ^2=8 232.480,P〈0.05）;2000—2015年发病前8位分别为病毒性肝炎、肺结核病、痢疾、布鲁氏菌病、猩红热、梅毒、麻疹、淋病;肠道传染病（χ^2=37 973.147）和呼吸道传染病（χ^2=13 313.872）呈下降趋势,各年代发病率差异有统计学意义（均P〈0.05）;血液及性传播疾病（χ^2=23 252.728）、自然疫源性疾病及虫媒传染病（χ^2=6 152.054）发病呈上升趋势,差异有统计学意义（均P〈0.05）。结论肝炎、肺结核病、痢疾等传染病仍是昌吉州防控的重点,今后应继续加强传染病疫情监测,及时分析疫情,适时调整防控策略。Objective To understand category change of infectious diseases class A and B in Changji from 1960 to 2015, to provide scientific basis for formulating control strategies of infectious diseases. Methods Report data of epidemic situation of the infectious diseases in Changji prefecture for the years were collected for analysis with descriptive epidemiology method. Results From 1960 to 2015, 277 848 cases of 23 categories of infectious diseases class A and B were reported in Changji, with annual average incidence rate of 453.53/100 000. The incidence rate tended to decrease, with statistical difference among years（χ^2=8 232.480,P〈0.05）. The top ten diseases were viral hepatitis, tuberculosis, dysentery, brucellosis, scarlet fever, syphilis, measles, and gonorrhea. The incidence of enteric（χ^2=37 973.147） and respiratory（χ^2=13 313.872） infectious disease showed downtrend, with statistical difference among years（P〈0.05）. Blood and sex transmitted diseases（χ^2=23 252.728）and natural focus and insect-borne infection disease（χ^2=6 152.054） displayed elevation trend（P〈0.05）. Conclusions The key to infectious disease control is control and prevention of hepatitis, tuberculosis, diarrhea, etc. in Changji prefecture. Surveillance of epidemic situation of infectious diseases should be reinforced, and epidemic situation analyzed promptly for adjustment of control strategies.

关 键 词：传染病 病种变化 疫情分析 

分 类 号：R51[医药卫生—内科学] R181.81[医药卫生—临床医学]