2022年云南省其他感染性腹泻病例报告和诊断情况分析  

Analysis of reporting and diagnosis of other infectious diarrhea cases in Yunnan Province in 2022

作　　者：张荣兵 叶青[2] 孙剑雄 田荣 陈莉华[1] 卢冉 ZHANG Rongbing;YE Qing;SUN Jianxiong;TIAN Rong;CHEN Lihua;LU Ran(Yunnan Center for Disease Control and Prevention,Kunming 650034,Yunnan Province,China;Kunming Center for Disease Control and Prevention,Kunming 650228,Yunnan Province,China)

机构地区：[1]云南省疾病预防控制中心,昆明650034 [2]昆明市疾病预防控制中心,昆明650228

出　　处：《预防医学情报杂志》2025年第4期425-429,469,共6页Journal of Preventive Medicine Information

基　　金：国家教育部哲学社会科学研究重大课题公关项目(项目编号:21JZD039)。

摘　　要：目的掌握云南省其他感染性腹泻病例报告和诊断情况,提高其他感染性腹泻病例的报告质量。方法运用描述性流行病学方法,对2022年云南省其他感染性腹泻的诊断和报告情况进行分析,报告病例的职业分布特征采用指数评价方法描述,率或构成比的比较采用卡方检验,两组非正态计量资料相关性采用Spearman相关性检验,P<0.05表示差异有统计学意义。结果2022年,云南省共计报告其他感染性腹泻病例35437例,报告发病率为75.51/10万(35437/4693万),各州(市)报告发病率与各州(市)经济发展水平有一定的相关关系(r=0.688,P=0.003);就诊人群的均衡性(J)与报告发病率有一定的相关关系(r=0.642,P=0.007)。实验室确诊14264例,确诊率40.25%(14264/35437)。以儿童医院为主的专科医院确诊率为76.05%(1521/2000)、妇幼保健院/站确诊率为71.99%(3153/4380),其他医疗/检测机构确诊率较低;散居儿童确诊率为55.31%(11751/21245)、幼托儿童为45.38%(1008/2221),其他人群总体确诊率较低。结论云南省其他感染性腹泻病例在不同地区报告发病率、就诊人群的均衡性和不同人群的确诊率差异均较大,总体确诊率较低,需要加强医务人员的传染病诊断水平和报告意识的培训,增强以综合医院和基层医院为重点的实验室检测能力,对重点区域开展诊断和报告准确性进行核查,全面提高其他感染性腹泻病例的报告质量。Objective To understand the reporting and diagnostic status of other infectious diarrhea cases in Yunnan Province,so as to improve the quality of reporting other infectious diarrhea cases.Methods Descriptive epidemiological methods were used to analyze the diagnosis and reporting of other infectious diarrhea in Yunnan Province in 2022.The occupational distribution characteristics of reported cases were described by the index evaluation method.The comparison of rates or components was conducted by Chi-square test.Spearman correlation test was used to test the correlation between the two groups of non-normal measurement data.And P<0.05 was considered to be statistically significant.Results In 2022,a total of 35437 cases of other infectious diarrhea were reported in Yunnan Province,with a reported incidence of 75.51/105(35437/46693 million),and the reported incidence of each city/prefecture was correlated with its level of economic development(r=0.688,P=0.003).There was a correlation between the balance(J)and the reported incidence(r=0.642,P=0.007).A total of 14264 cases were confirmed by laboratory,with a diagnostic rate of 40.25%(14264/35437).The diagnostic rate of specialized hospitals,mainly children′s hospitals,was76.05%(1521/2000),and the diagnostic rate of maternal and child health centers/stations was71.99%(3153/4380).The diagnostic rate of other medical/testing institutions was relatively lower.The diagnostic rate of scattered children was 55.31%(11751/21245/),and 45.38%(1008/2221)of the preschool children.The overall diagnostic rate of other populations was relatively lower.Conclusions The reported incidence rate of other infectious diarrhea cases in different regions in Yunnan Province,the balance of medical treatment groups and the diagnostic rate of different populations were quite different.The overall diagnostic rate was low.It was necessary to strengthen the training of medical personnel on the diagnostic level of infectious diseases and the awareness of reporting,strengthen the laboratory testing

关 键 词：其他感染性腹泻 报告 诊断 

分 类 号：R183.4[医药卫生—流行病学] R574.62[医药卫生—公共卫生与预防医学]