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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。
In Sichuan province from 1950 to 1996, there were 5047820 cases of bacterial dysentery and 17898 deaths. The incidence fluctuated between 12.01 and 451.18 / 100 000 with an average annual incidence of 124.94 / The overall trend of increase and decrease of incidence in 47 years did not reach statistical significance. The case fatality rate fluctuated between 0.05 and 1.90%. 78.28% of cases occurred between July and October. The highest age group was 0-4 years old and the incidence rate was 496.48 per 100 000. 265.62 / 100000 for 20-24 years old, and the lowest was 45.26 / 100,000 for 10-14 years old. The incidence in mountain area was higher than that in plain and hilly area. The incidence of peasants accounted for 40.11%, followed by that of children 26 .74%. In the 10169 Shigella strains detected, A group accounted for 3.2%, B group accounted for 81.3%, C group accounted for 1.7%, D group accounted for 13.8% in group B , 2a accounted for 22% of serotypes, 3 serotypes accounted for 10%, 1b serotypes accounted for 8%, while the type 3 from 34.1% in the 1950s to 10% nowadays. Preliminarily analyzed and discussed the epidemic factors and the prevention and cure strategies, and made reference in the future to prevent and control the incidence and prevalence of bacillary dysentery.