2015-2019年杞县肠道传染病流行趋势及疾病负担研究  

Study on epidemic trend and disease burden of intestinal infectious diseases in Qi County from 2015 to 2019

作　　者：曹向华 杨雯 王喜[2] 张卫文[2] Cao Xianghua;Yang Wen;Wang Xi;Zhang Weiwen(Qi County Center for Disease Control and Prevention,Kaifeng Henan 475200,China;Kaifeng Center for Disease Control and Prevention,Kaifeng Henan 475200,China)

机构地区：[1]杞县疾病预防控制中心,河南开封475200 [2]开封市疾病预防控制中心,河南开封475000

出　　处：《保健医学研究与实践》2021年第5期25-29,共5页Health Medicine Research and Practice

摘　　要：目的了解开封市杞县肠道传染病流行趋势及其造成的疾病负担,为制定肠道传染病防控策略提供科学依据。方法从中国疾病预防控制信息系统导出2015-2019年杞县肠道传染病资料,采用发病率、年龄别发病率、伤残寿命损失年(YLDs)、YLDs率等指标对其流行状况及疾病负担进行描述,采用Excel 2007及SPSS 21.0进行数据整理和分析。结果2015-2019年杞县共报告5种肠道传染病7422例,年均发病率为158.59/10万,5种肠道传染病年均发病率从高到低依次为其他感染性腹泻(107.39/10万)、手足口病(45.90/10万)、细菌性痢疾(3.87/10万)、甲肝(0.73/10万)、戊肝(0.71/10万)。总体发病率男性高于女性(P<0.05)。不同年龄组人群的其他感染性腹泻发病率均位居5种肠道传染病的首位,手足口病和细菌性痢疾在0岁~组发病率最高,发病率分别为474.76/10万、18.65/10万,其他感染性腹泻在0岁~组和30岁~组高发,发病率分别为478.13/10万、106.38/10万。甲肝在15岁~组发病率最高(1.06/10万),戊肝在60岁~组发病率最高(1.15/10万)。手足口病和其他感染性腹泻发病呈上升趋势,细菌性痢疾呈下降趋势。除甲肝和戊肝外,其他3种疾病发病多集中在5-7月。5种肠道传染病总YLDs和YLDs率分别为47.96人年、1.20人年/10万,男性YLDs和YLDs率分别为29.58人年、1.22人年/10万,女性YLDs和YLDs率分别为18.38人年、0.82人年/10万,不同疾病YLDs从高到低依次为其他感染性腹泻(23.75人年)、手足口病、甲肝、戊肝、细菌性痢疾。0岁~组YLDs和YLDs率最高,分别为27.42人年、7.10人年/10万。结论2015-2019年杞县肠道传染病中其他感染性腹泻和手足口病发病率较高,多集中在夏季,儿童和老年人是肠道传染病高危人群,应有针对性地采取预防控制措施。Objective To understand the epidemic trend and disease burden of intestinal infectious diseases in Qi County,so as to provide scientific basis for formulating prevention and control strategies of intestinal infectious diseases.Methods The data of intestinal infectious diseases in Qi County was derived from the disease prevention and control information system from 2015 to 2019.The incidence rate,age-specific incidence rate,years lived with disability(YLDs)and YLDs rate were used to describe the epidemic status and disease burden.Excel 2007 and SPSS 21.0 were used to prepare and analyze the data.Results A total of 7422 cases of 5 kinds of intestinal infectious diseases were reported in Qi County from 2015 to 2019,with an average annual incidence of 158.59/100000.The average annual incidence of five intestinal infectious diseases from high to low was other infectious diarrhea(107.39/100000),hand,foot and mouth disease(45.90/100000),bacillary dysentery(3.87/100000),hepatitis A(0.73/100000)and hepatitis E(0.71/100000).The overall incidence in males was higher than that in females(P<0.05).The incidence of other infectious diarrhea in different age groups ranked first among the five intestinal infectious diseases.Hand-foot-mouth disease and bacillary dysentery had the highest incidence in the 0-year-old group,with the incidence of 474.76/100,000 and 18.65/100000 respectively.The incidence of other infectious diarrhea was high in 0-year-old group and 30-year-old group,and the incidence was 478.13/100000 and 106.38/100000,respectively.The incidence of hepatitis A was the highest in the 15-yearold group(1.06/100000),and that of hepatitis E was the highest in the 60-year-old group(1.15/100000).The incidence of hand-foot-mouth disease and other infectious diarrhea showed an upward trend,while bacillary dysentery showed a downward trend.Except for hepatitis A and E,the incidence of the other three diseases was mostly concentrated from May to July.The total YLDs and YLDs rates of the five intestinal infectious diseases were 4

关 键 词：肠道传染病 伤残生命年 发病率 

分 类 号：R183.4[医药卫生—流行病学]