狂犬病暴露人群预防处置情况分析  

Analysis of Prevention and Treatment of Rabies Exposed Population

作　　者：杨莉莉 YANG Li-li(Fuyang City Center for Disease Control and Prevention,Fuyang 236000,Anhui,China)

机构地区：[1]安徽省阜阳市疾病预防控制中心,安徽阜阳236000

出　　处：《医学信息》2020年第9期134-135,共2页Journal of Medical Information

摘　　要：目的分析阜阳市疾病预防控制中心狂犬病暴露人群预防处置情况,提出相应的防控对策。方法选取2019年1~12月阜阳市疾控中心狂犬病处置门诊收集的385例暴露者作为研究对象。所有暴露者均接受疫苗接种,记录暴露者性别、年龄、致伤部位、致伤动物、动物来源、处理地点及不同接种方式规范接种情况。结果 385例暴露者致伤部位主要是以上肢为主,致伤动物主要是以狗为主,动物来源主要以家养为主,处理地点主要以门诊为主,不同致伤部位、致伤动物、动物来源、处理地点暴露者比较,差异有统计学意义(P<0.05);385例暴露者中,31~50岁暴露者最多,占31.17%、0~15岁暴露者占22.08%、16~30岁暴露者占22.60%、51~60岁暴露者占15.84%、>60岁暴露者占8.31%,不同年龄段男女暴露者占比比较,差异无统计学意义(P>0.05);385例暴露者中采用单纯人狂犬病疫苗暴露者307例,采用人狂犬病疫苗联合狂犬免疫球蛋白免疫暴露者78例,两组暴露者的全程规范接种率比较,差异无统计学意义(P>0.05)。结论阜阳市狂犬病暴露者致伤主要动物为狗,31~50岁是主要暴露人群,暴露者狂犬病疫苗规范化接种有待加强。Objective To analyze the prevention and treatment of rabies-exposed people in Fuyang City Center for Disease Control and Prevention and put forward corresponding prevention and control measures.Methods From January to December 2019, 385 exposed persons collected from the rabies treatment clinic of Fuyang City Center for Disease Control were selected as the research subjects. All exposed persons receive vaccination, record the exposed person’s gender, age, injury site, injury animal, animal source, treatment location and different vaccination methods to standardize the vaccination situation.Results The injury parts of the 385 exposed persons were mainly upper limbs, the injury animals were mainly dogs, the animal sources were mainly domestic, and the treatment sites were mainly outpatient clinics. The different injury parts, injury animals, compared with those exposed from animal sources and treatment sites, the difference was statistically significant (P<0.05). Among the 385 exposed persons, 31 to 50 years old were the most exposed, accounting for 31.17%, 0 to 15 years old were exposed to 22.08%, 22.60% of those exposed to 16-30 years old, 15.84% of those exposed to 51 to 60 years old,> 60-year-old exposed persons accounted for 8.31%, compared with the proportion of male and female exposed persons of different ages, the difference was not statistically significant(P>0.05);385 exposed persons were treated with pure human rabies vaccine,307 cases were exposed, combined with the combined were 78 patients exposed to rabies immunoglobulin,there was no statistically significant difference between the two groups of exposed patients during the whole course of standard vaccination rate (P >0.05).Conclusion The main animal injury caused by rabies-exposed persons in Fuyang City is dogs, 31 to 50 years old are the main exposed population, and the standardized vaccination of rabies vaccine of exposed persons needs to be strengthened.

关 键 词：狂犬病 暴露人群 预防处置 

分 类 号：R512.99[医药卫生—内科学]