2016-2019年佳木斯市流感样病例监测结果分析  

Analysis of Surveillance Results of Influenza-like Illness from 2016 to 2019 in Jiamusi City

作　　者：刘丹丹[1] 刘莉[1] 王彬[1] 王红[1] LIU Dandan;LIU Li;WANG Bin;WANG Hong(Jiamusi Center for Disease Control and Prevention,Jiamusi 154002,China;不详)

机构地区：[1]黑龙江省佳木斯市疾病预防控制中心,黑龙江佳木斯154002

出　　处：《中国医学创新》2020年第21期63-66,共4页Medical Innovation of China

摘　　要：目的:分析2016-2019年佳木斯市流感样病例(ILI)的监测结果。方法:统计2016-2019年的门急诊总病例数、ILI例数以及病原学检测数据,均来自佳木斯市中心医院和佳木斯大学附属第一医院,采用描述流行病学方法对病例监测结果进行统计和分析。结果:2016-2019年医院门急诊总病例数248644例,其中ILI 16147例,占比6.49%;2016-2019年每年医院均有ILI报告,其中10月至次年2月的报告病例数最多,共8531例,占比52.83%,其中0~4岁ILI最多,占比3.88%;ILI病例中,男9411例,女6736例,男女比例为1.40︰1;2460例ILI患者检出流感病毒核酸阳性448例,总阳性率18.21%。流感病毒分离结果显示,流行病毒核酸阳性检出率每年于12月和次年1月最高,A型其他亚型占比40.63%(182/448),B型占比26.12%(117/448),新甲H1型占比10.71%(48/448),季H3型占比22.54%(101/448)。结论:2016-2019年流感流行总体呈上升趋势,A型为优势毒株,且每年10月至次年2月为多发季节,多见于0~4岁年龄段,因此应于10月前加强流感的防控工作,并重视幼儿感染情况。Objective:To analyze the surveillance results of influenza-like illness(ILI)from 2016 to 2019 in Jiamusi City.Method:The total number of outpatient and emergency cases,the number of ILI cases and the pathogen detection data from 2016 to 2019 were all from Jiamusi City Central Hospital and Jiamusi University First Affiliated Hospital from.The epidemiological method was used to count and analyze the results of case-surveillance.Result:From 2016 to 2019,the total number of hospital outpatient emergency cases was 248644,of which ILI was 16147,accounting for 6.49%;from 2016 to 2019,there were ILI reports in hospitals each year,with the largest number of reported cases from October to February of next year,a total of 8531 cases,accounting for 52.83%;the rate of ILI in 0-4 years old was the highest,accounting for 3.88%;among ILI cases,there were 9411 males,6736 females,and the radio from male to female was 1.40︰1;there were 448 cases were tested Influenza virus nucleic acid showed positive among all 448 cases,with a total positive rate of 18.21%.Influenza virus isolation results showed that the positive detection rate of epidemic virus nucleic acid is highest in December and January of next year,type A and other subtypes accounted for 40.63%(182/448),type B accounted for 26.12%(117/448),the new H1 type accounted for 10.71%(48/448),and the seasonal H3 type accounted for 22.54%(101/448).Conclusion:The flu epidemic in 2016-2019 is generally on the upward trend.Type A is the dominant strain,and the frequent season of it is from October to February of next year.It is more common in 0-4 years old.Therefore,the prevention and control of influenza should be strengthened before October,pay attention to the infection of young children at the same time.

关 键 词：流感样病例 流行病学 

分 类 号：R511.7[医药卫生—内科学] R181.3[医药卫生—临床医学]