基于健康管理大数据平台分析宜昌市城区2016-2017年带状疱疹流行特征  

Epidemiological characteristics of herpes zoster in urban areas of Yichang city during 2016-2017 based on the Yichang Big Data Platform for Health Management

作　　者：蒋蔚[1] 李贵文[1] 徐勇[1] 裴松[1] 严毅[1] 佟荟[1] 汪伟唯[1] 徐承中[1] 刘燕敏[2] 殷大鹏[2] Jiang Wei;Li Guiwen;Xu Yong;Pei Song;Yan Yi;Tong Hui;Wang Weiwei;Xu Chengzhong;Liu Yanmin;Yin Dapeng(Yichang Municipal Center for Disease Control and Prevention,Yichang 443000,Hubei,China;Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]宜昌市疾病预防控制中心,湖北宜昌443000 [2]中国疾病预防控制中心,北京100050

出　　处：《中国疫苗和免疫》2019年第4期432-435,共4页Chinese Journal of Vaccines and Immunization

基　　金：中国疾病预防控制中心科研项目(JY18-1-05)

摘　　要：目的了解湖北省宜昌市城区2016-2017年带状疱疹(Herpes zoster,HZ)的流行特征。方法依托宜昌市健康管理大数据信息平台,收集2016-2017年宜昌市城区医疗机构HZ就诊病例的诊疗信息,进行描述性分析。结果 2016-2017年宜昌市城区共登记9 495例HZ就诊病例,发病率为5.06‰(2016年4.08‰、2017年6.04‰);其中男、女性发病率分别为4.71‰、5.42‰,0-9岁、10-19岁、20-29岁、30-39岁、40-49岁、50-59岁、60-69岁、70-79岁、≥80岁发病率分别为0.35‰、1.65‰、3.20‰、3.53‰、4.04‰、8.03‰、10.33‰、11.41‰、14.00‰;1-3月、4-6月、7-9月、10-12月份发病数分别占24.11%、25.72%、27.27%、22.91%。1 048例(11.04%)HZ有并发症;其中HZ后神经痛、耳疾病、眼疾病、脑膜炎、其他并发症分别占70.42%、15.08%、6.01%、1.91%、6.58%,≥50岁病例占并发症病例的82.66%。结论 2016-2017年宜昌市城区HZ发病呈上升趋势,并发症以≥50岁病例、HZ后神经痛为主。Objective To explore epidemiological characteristics of herpes zoster(HZ) in urban areas of Yichang city during 2016-2017. Methods We collected clinical data on HZ cases in urban areas of Yichang during 2016-2017 f rom the Yichang Big Data Platform for Health Management for a descriptive epidemiological analysis. Results A total of 9 495 HZ cases were identified during 2016-2017 in Yichang, for an incidence rate of 5.06‰(4.08‰ in 2016 and 6.04‰ in 2017). The incidence was 4.71‰ for males and 5.42‰ for females, and 0.35‰, 1.65‰, 3.20‰, 3.53‰, 4.04‰, 8.03‰, 10.33‰, 11.41‰, and 14.00‰ for 0-9, 10-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, and ≥80 year olds, respectively. Cases in Jan-Mar, Apr-Jun, Jul-Sep, and Oct-Dec accounted f or 24.11%, 25.72%, 27.27%, and 22.91% of cases, respectively. Among HZ cases, 1 048(11.04%) had complications, among which post-herpetic neuralgia, ear diseases, eye diseases, meningitis, and other complications accounted for 70.42%, 15.08%, 6.01%, 1.91%, and 6.58%, respectively;82.66% of cases with complications were among individuals over 50 years old. Conclusions HZ incidence showed an increasing trend during 2016-2017 in Yichang, with complications commonly occurring among individuals ≥50-yearold, and with the most common complication being postherpetic neuralgia.

关 键 词：带状疱疹 并发症 流行特征 

分 类 号：R186[医药卫生—流行病学] R512.62[医药卫生—公共卫生与预防医学]