石家庄市2004—2022年肠道传染病流行特征分析  

Analysis on epidemic characteristics of intestinal infectious diseases in Shijiazhuang city from 2004 to 2022

作　　者：万丽[1] 周小茜 王汐 WAN Li;ZHOU Xiao-xi;WANG Xi(Shijiazhuang Center for Disease Control and Prevention,Shijiazhuang,Hebei 050011,China)

机构地区：[1]石家庄市疾病预防控制中心流行病防治所,河北石家庄050011

出　　处：《现代预防医学》2023年第23期4392-4397,共6页Modern Preventive Medicine

摘　　要：目的分析石家庄市2004—2022年肠道传染病流行特征,为制定调整防控措施提供科学依据。方法利用描述性统计学方法对石家庄市2004—2022年肠道传染病发病情况进行分析。结果石家庄市2004—2022年共报告八种肠道传染病,年均报告发病率225.86/10万。急性出血性结膜炎发病呈上升趋势(t=4.687,P<0.001);甲肝、肝炎未分型、痢疾、伤寒副伤寒和手足口病均呈下降趋势(P<0.05)。痢疾和手足口病有明显季节特征,集中度M值分别为0.50和0.54。甲肝发病率由农村高变为城区高,肝炎未分型和其它感染性腹泻由城区高变为农村高。八种肠道传染病男性发病均率高于女性(P<0.05);急性出血性结膜炎、甲肝、伤寒副伤寒、戊肝、肝炎未分型和其他感染性腹泻农民占比最高分别为81.82%、55.80%、46.97%、46.37%、45.26%、45.23%;2004—2009年、2010—2015年、2016—2022年三个时期甲肝和急性出血性结膜炎50岁以上人群构成比分别为27.90%、40.77%、61.14%和17.20%、25.95%、52.34%。结论2004—2022年石家庄市肠道传染病防控效果显著,部分肠道传染病流行特征发生变化,今后应加强农村地区、儿童及中老年人的防控,并结合肠道传染病新的流行特征调整现行防控措施。Objective To analyze the epidemic characteristics of intestinal infectious diseases in Shijiazhuang from 2004 to 2022,and to provide scientific basis for refining prevention and control measures.Methods Descriptive statistics were used to analyze the incidence of intestinal infectious diseases in Shijiazhuang from 2004 to 2022.Results A total of eight intestinal infectious diseases were reported in Shijiazhuang from 2004 to 2022,with an average annual reported incidence of 225.86/100000.The incidence of acute hemorrhagic conjunctivitis increased(t=4.687,P<0.001),while the incidence of hepatitis A,unclassified hepatitis,dysentery,typhoid and paratyphoid fever,and hand-foot-mouth disease(HFMD)decreased(P<0.05).Dysentery and HFMD had obvious seasonal characteristics,and the M values of concentration were 0.50 and 0.54,respectively.The high incidence areas of hepatitis A shifted from rural areas to urban areas,and that of unclassified hepatitis and other infectious diarrhea from urban areas to rural areas.The average incidence rate of eight intestinal infectious diseases in males was higher than that in females(P<0.05).In occupational ratio,farmers were the highest in of acute hemorrhagic conjunctivitis,hepatitis A,typhoid and paratyphoid fever,hepatitis E,unclassified hepatitis,and other infectious diarrhea with the composition of 81.82%,55.80%,46.97%,46.37%,45.26%and 45.23%,respectively.The constituent ratios over 50 years old in 2004-2009,2010-2015,and 2016-2022 were 27.90%,40.77%,and 61.14%for hepatitis A,and 17.20%,25.95%,and 52.34%for acute hemorrhagic conjunctivitis,respectively.Conclusion The effect of prevention and control of intestinal infectious diseases in Shijiazhuang from 2004 to 2022 was remarkable and the epidemic characteristics of some intestinal infectious diseases had changed.We should strengthen the measures of prevention and control in rural areas as well as children and the elderly and adjust prevention and control strategies according to the characteristics of intestinal infectious diseases i

关 键 词：肠道传染病 流行特征 戊肝 甲肝 急性出血性结膜炎 

分 类 号：R512.5[医药卫生—内科学]