2006—2022年珠海市恙虫病流行特征分析  

Epidemiological characteristics of scrub typhus in Zhuhai City from 2006 to 2022

作　　者：杨仁东 张雪宝[1] 倪锡河[1] 陈龙[1] 阮峰[1] YANG Rendong;ZHANG Xuebao;NI Xihe;CHEN Long;RUAN Feng(Zhuhai Center for Disease Control and Prevention,Zhuhai 519060,Guangdong Province,China)

机构地区：[1]珠海市疾病预防控制中心,广东珠海519060

出　　处：《预防医学情报杂志》2025年第4期441-447,共7页Journal of Preventive Medicine Information

摘　　要：目的对珠海市2006—2022年恙虫病流行特征进行分析,为恙虫病防控提供依据。方法从中国疾病预防控制信息系统中获取珠海市2006—2022年恙虫病病例信息,采用WPS Office软件建库、R4.2.2软件绘图,采用率、比等指标进行描述流行病学分析。结果2006—2022年珠海市共报告恙虫病病例542例,年均发病率为1.90/10万,历年发病率呈现先上升后稳定趋势,2016年达到高峰(7.89/10万),2017—2022年期间发病率稳定在2.38/10万左右。月发病曲线呈马鞍型,大高峰5至6月,小高峰10月。发病中位年龄55岁,65~69岁年龄组发病率最高(166.15/10万)。男女性别比为1.35∶1,家务及待业人员居多(43.17%)。3个行政区年均发病率分别为斗门区(4.21/10万)、香洲区(1.17/10万)和金湾区(1.08/10万)。结论2006—2020年珠海市恙虫病发病呈现先上升后平稳趋势,有明显的季节性和地区差异性,家务及待业者和中老年人是高危人群。Objective To analyze the epidemiological characteristics of scrub typhus in Zhuhai City from2006 to 2022,and to provide evidence for the prevention and control of the disease.Methods The data of scrub typhus cases reported in the China Information System for Disease Control and Prevention in Zhuhai City from 2006 to 2022 were collected.WPS Office software was used to build the database,and R4.2.2 software was used to draw graphs.Rate,ratio and other indicators were used for descriptive epidemiological analysis.Results A total of 542 cases of tsutsugamushi disease were reported in Zhuhai City from 2006 to 2022,with an average annual incidence rate of1.90/10~5.The incidence rate over the years showed a trend of first rising and then stabilizing,reaching a peak in 2016(7.89/10~5).During 2017-2022,the incidence rate was stable at about2.38/10~5.The monthly incidence curve showed a saddle-shaped pattern,with a high peak from May to June and a low peak in October.The median age of incidence was 55 years old,and the highest incidence rate was in the 65-69 years old age group(166.15/10~5).The male to female sex ratio was 1.35∶1.The majority of cases were household and unemployed individuals(43.17%)The average annual incidence rate of the three administrative regions was 4.21/10~5in Doumen District,1.17/10~5in Xiangzhou District and 1.08/10~5in Jinwan District.Conclusions From 2006 to2022,the incidence of tsutsugamushi disease in Zhuhai City showed a trend of first increasing and then stabilizing,with obvious seasonal and regional differences.Household and unemployed individuals,and middle-aged and elderly people were high-risk groups.

关 键 词：恙虫病 恙虫病东方体 流行特征 疾病监测 

分 类 号：R513.2[医药卫生—内科学] R183.5[医药卫生—临床医学]