1950-2015年河南省斑疹伤寒流行状况分析  

Epidemic situation of typhus in Henan,1950-2015

作　　者：孙建伟[1] 黄学勇[1] 苏佳[1] 尤爱国[1] 陈豪敏[1] 郝宗宇[1] 许汴利[1] 

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

出　　处：《现代预防医学》2016年第23期4233-4235,4239,共4页Modern Preventive Medicine

摘　　要：目的 总结和分析河南省斑疹伤寒疫情趋势及流行特征,为斑疹伤寒监测与防控工作提供科学依据。方法 采用描述性流行病学方法对河南省1950-2015年斑疹伤寒数据资料进行分析。结果 1950-2015年河南省共报告斑疹伤寒30 306例,1980年出现流行高峰,不同年代斑疹伤寒发病有显著差异（χ2=26.27,P〈0.01）,1950-1979年发病呈下降趋势,1980-1989年疫情显著上升,1990年以后至今又呈现下降趋势。夏秋季为斑疹伤寒发病高峰,河南省中部黄河沿岸的开封、新乡、焦作、郑州、洛阳5地区是流行区,病例男略多于女,0～30岁组人群居多,职业以农民和学生为主。结论 河南省上世纪80年代是斑疹伤寒流行期,本世纪以来发病逐年下降且高度散发。应加强重点地区监测,以有效控制疫情。Objective To analyze the epidemic situation of typhus in Henan Province from 1950 to 2015, and to provide evidence for the prevention and control of typhus in Henan. Methods Descriptive epidemiological analysis was performed on the epidemic data of typhus from 1950 to 2015 in Henan. Results A total of 30306 typhus cases were reported from 1950 to 2015 in Henan Province. Typhus epidemic peak was in 1980, and the epidemic trend was downward in 1950 - 1979, but increased markedly in 1980 - 1989. It showed a trend of decline in 1990 - 2015. There were significant differences for the incidence of typhus among different decades in the past 66 years ~2 = 26.27,P 〈 0. 01 ）. Epidemic period was in warm seasons （summer and autumn）. Epidemic areas were Kaifeng,Xinxiang,Jiaozuo,Zhengzhou and Luoyang, which in the north central of Henan Province along the Yellow River. There were more male cases than female cases. Most cases were peasants and pupils from age 0 -30 years old in rural area. Conclusion Typhus was epidemic in 1980s in Henan,then decreased gradually and became sporadic since 21st century. Epidemic surveillance should be taken to control typhus.

关 键 词：斑疹伤寒 描述性流行病学 流行状况 

分 类 号：R181.23[医药卫生—流行病学]