2006—2022年绍兴市肾综合征出血热流行特征分析  

Epidemiological characteristics of hemorrhagic fever with renal syndrome in Shaoxing City from 2006 to 2022

作　　者：赵棋锋 刘明奇 马珊珊[1] 李杰[1] 陈海苗 马岩[1] 王吉玲[1] 方益荣[2] ZHAO Qifeng;LIU Mingqi;MA Shanshan;LI Jie;CHEN Haimiao;MA Yan;WANG Jiling;FANG Yirong(Department of Communicable Disease Control and Prevention,Shaoxing Center for Disease Control and Prevention,Shaoxing,Zhejiang 312000,China;Shaoxing Center for Disease Control and Prevention,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市疾病预防控制中心传染病预防控制科,浙江绍兴312000 [2]绍兴市疾病预防控制中心,浙江绍兴312000

出　　处：《预防医学》2023年第6期514-516,521,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：2022年浙江省卫生健康科技计划(青年创新人才项目)(2022RC281)。

摘　　要：目的了解2006—2022年绍兴市肾综合征出血热(HFRS)的流行特征,为完善HFRS防制策略提供依据。方法通过中国疾病预防控制信息系统监测报告管理系统收集2006—2022年绍兴市HFRS病例资料,采用描述性流行病学方法分析HFRS的时间、人群、地区分布特征。计算年度变化百分比(APC),分析2006—2022年绍兴市HFRS发病率变化趋势。结果2006—2022年绍兴市累计报告HFRS病例1022例,年均发病率为1.22/10万,死亡3例。2006—2022年绍兴市HFRS发病率呈下降趋势(APC=-11.101%,t=-9.930,P<0.001)。HFRS发病高峰在5—6月、11月至次年1月。男性发病率为1.76/10万,高于女性的0.68/10万(χ^(2)=201.361,P<0.001);病例年龄30~<60岁714例,占69.86%;职业以农民为主,799例占78.18%。发病数前三位分别为诸暨市(366例)、新昌县(263例)和嵊州市(134例),县市(诸暨市、嵊州市、新昌县)发病率为1.96/10万,高于城区(越城区、柯桥区和上虞区)的0.58/10万(χ^(2)=326.880,P<0.001)。结论2006—2022年绍兴市HFRS发病率呈下降趋势,春末夏初和冬季为高发季节,病例以男性、中青年和农民为主,主要分布在县市,可有针对性地采取防控措施。Objective To investigate the epidemiological characteristics of hemorrhagic fever with renal syndrome(HFRS)in Shaoxing City from 2006 to 2022,so as provide insights into improvements of the HFRS control strategy.Methods Data pertaining to HFRS cases in Shaoxing City from 2006 to 2022 were captured from the Surveillance System of China Information System for Disease Control and Prevention.The temporal,population and regional distributions of HFRS were analyzed using the descriptive epidemiological method,and the trends in incidence of HFRS were evaluated using annual percent change(APC).Results Totally 1022 HFRS cases were reported in Shaoxing City from 2006 to 2022,with annual average incidence of 1.22/105 and three deaths.The incidence of HFRS appeared a tendency towards a decline in Shaoxing City from 2006 to 2022(APC=-11.101%,t=-9.930,P<0.001),and the incidence of HFRS peaked from May to June and from November to January of the next year.A higher incidence of HFRS was seen in men than in women(1.76/105 vs.0.68/105;χ^(2)=201.361,P<0.001).There were 714 HFRS cases at ages of 30 to 59 years(69.86%),and farmers were the predominant occupation(78.18%).The three counties with the largest number of HFRS cases included Zhuji(366 cases),Xinchang(263 cases)and Shengzhou(134 cases).The incidence of HFRS was lower in urban districts(Yuecheng,Keqiao and Shangyu)than in counties(Zhuji,Shengzhou and Xinchang)(0.58/105 vs.1.96/105;χ^(2)=326.880,P<0.001).Conclusion The incidence of HFRS appeared a tendency towards a decline in Shaoxing City from 2006 to 2022,and the incidence was high in late spring,early summer and winter.The HFRS cases were mainly males,young and middle-aged people,and farmers,and predominantly distributed in counties.Targeted control measures are needed.

关 键 词：肾综合征出血热 流行特征 绍兴市 

分 类 号：R512.8[医药卫生—内科学]