【摘要】 目的了解贵阳市肠道传染病的流行规律和变化趋势,为制订科学防控对策提供依据。方法采用描述性流行病学方法,运用Excel 2003对所有疫情资料进行统计分析。结果贵阳市2004~2013年共报告肠道传染病8种,累计报告98 584例,占传染病总报告数的45.24%,年均报告发病率为248.92/10万;报告死亡数30例,占传染病总死亡数的5.21%,死亡率为0.08/10万;手足口病年均发病率最高,为270.11/10万,其次为细菌性痢疾、其它感染性腹泻。4~7月为发病高峰,占总报告数的55.42%;年均发病率最高的是观山湖区(537.10/10万),其次为白云区、云岩区;男女性别比为1.51:1,5岁以下年龄组发病最多,占总肠道传染病的71.44%,散居儿童发病占60.88%、托幼儿童占16.23%、学生占8.02%;共发生暴发疫情14起,甲肝6起、伤寒副伤寒5起、细菌性痢疾1起、其它感染性腹泻1起、手足口病1起。结论2004~2007年贵阳市肠道传染病发病率逐年下降,2008年后呈明显上升趋势,这与手足口病纳入法定传染病管理有关。贵阳市肠道传染病防控工作形势依然很严峻,应通过开展健康教育和行为干预等各项综合措施,降低肠道传染病的发病率。更多还原

【Abstract】 Objective To understand the epidemic regularity of intestinal infectious diseases and trends in Guiyang city.Methods Descriptive epidemiological method was used to analyze thel epidemic data of intestinal infectious diseases.Results Eight kinds of intestinal infectious diseases and 98 584 cases were reported in Guiyang city from 2004 to 2013,accounting for 45.24% of the total incidence of infectious diseases, with an annual incidence of 248.92/100 000. Thirty deadcases were reported accounting for 5.21% of the total mortality of infectious diseases with a mortality rate of 0.08/100 000. Theannual incidence of hand-foot-mouth disease was 270.11/100 000, being the highest, followed by bacterial dysentery and otherinfectious diarrhea. The peak of infection was from April to July accounting for 55.42% of the total number of cases. Thehighest annual incidence was in Guanshanhu area(537.10/100 000), followed by Baiyun district, Yunyan district with sex ratioof 1.51:1. 71.44% of the cases with intestinal infectious diseases were infants under age of 5 years, scattered childrenaccounted for 60.88%, nursery children students accounted for 16.23% and pupils occupied 8.02%. Fourteen outbreaks weredocumented including six hepatitis A, five typhoid and paratyphoid, one bacterial dysentery, one other infectious diarrhea and ahand-foot-mouth disease.Conclusion The incidence of intestinal infectious diseases in Guiyang in 2004-2007 dropped yearby year, show clear upward trend after 2008 and this situation is associated with the incorporation of hand-foot-mouth diseaseinto management of legal infectious diseases. Therefore integrated measures through health education and behavior interventionbe taken to reduce the incidence of intestinal infectious diseases.更多还原