【摘要】 四川省１９５０～１９９６年累计发生细菌性痢疾５０４７８２０例，死亡１７８９８例，发病率波动在１２．０１～４５１．１８／１０万之间，平均年发病率为１２４．９４／１０万，经游程检验，４７年间发病率总的升降趋势不具有统计学意义。病死率波动在０．０５～１．９０％之间；７８．２８％的病例发生在７～１０月；发病最高年龄组为０～４岁，发病专率为４９６．４８／１０万，次为２０～２４岁为２６５．６２／１０万，最低是１０～１４岁仅为４５．２６／１０万；山区发病高于平原及丘陵地区；发病农民占４０．１１％，其次是儿童占２６．７４％。对检出的１０１６９株志贺氏菌菌群分析，Ａ群占３．２％，Ｂ群占８１．３％、Ｃ群占１．７％、Ｄ群占１３．８％，在Ｂ群中，以２ａ血清型占２２％，３血清型占１０％，１ｂ血清型占８％，而福氏３型由５０年代的３４．１％逐年代降至现今的１０％。对流行因素及防治策略作了初步分析和探讨，于今后预防和控制菌痢的发生和流行有参考意义。更多还原

【Abstract】 From 1950 to 1996 there occurred 5047820 cases of bacillary signicance dysentery in Sichuan Province and 17899 patients died of the disease, the mobidity ranges from 12 01 per100,000 to 451 18 per100,000,the average morbidity per year is 124 94per100,000 By run test, the variation of morbidity in the 47 years does not have statistics signicance. The death rate ranges from 0.05%to 1.90%,78.28% cases occured from July to October, the age group with highest morbidity of 496.48per100,000 is 0-4 year old group, the 20-24 year old group with the morbidity of 265 6w/per100,000 and the 10-14 year old group has the lowest morbidity, which is 45 26/per100,000 The occurrence of the disease of mountain area is higher than that of plain area,peasants occupied 40.11%, children occupied 26.74%.By analyzing the bacterial group of the detected 10169 strains of shigella dysenteriae, A group accounts for 3.2%,B group 81.3%,C group 1.7%,D group 13.8%,in the B group, 2a serotype accounts for 22%,3 serotype 10%,1b serotype 8%, while the morbidity of the three types of shigella flexneri dysenteriae droped yearly from 34% in nineteen fifties to 10% nowadays. We have initially analyzed and inquired into the epidemic factors and protection strategy of the disease, which will be of benifit to the protection and control of the occurrence and epidemic of the bacillary dysenatery.更多还原