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目的通过对四平市2005-2013年发热伴出疹症候群(RFls)病例变化趋势的特点分析和风险性评估,为今后防治对策提供依据。方法采用描述流行病学方法,对2005-2013年本市RFls病例统计年报及个案资料进行比较分析。结果 RFls位居本市传染性疾病发病率的第6位,主要是麻疹和风疹。连续9年RFls发病率在4.84~30.01/10万区间,0~4岁和25岁以上为高发年龄段。男性2 136例,女性1 928例,性别比为1.11∶1。风疹“0”剂次率为13.41%,麻疹“0”剂次率10.26%;男性风疹“0”剂次率和麻疹“0”剂次率分别为16.20%、13.58%,均高于女性(10.32%、6.59%)(P<0.01)。在RFls免疫史“0”剂次人群中,麻疹疫苗<8个月龄的婴幼儿、6岁以上人群病例呈上升势头,差异有统计学意义(P<0.01);风疹疫苗1~25岁人群“0”剂次病例总数226例,占风疹疫苗“0”剂次的41.47%,差异有统计学意义(P<0.01)。结论 RFls病例是没有得到有效控制危害人群健康的主要发病率之一,应采取切实可行的干预措施,<8月龄的婴幼儿、25岁以上人群和男性务工人员是防范的关键和重点。
Objective To analyze the characteristics and risk assessment of the trend of cases of fever and rash syndrome (RFls) from 2005 to 2013 in Siping City, and provide evidence for future prevention and treatment measures. Methods Descriptive epidemiological methods were used to analyze the statistical annual reports and case data of RFls from 2005 to 2013 in our city. Results RFls ranked sixth in the incidence of communicable diseases in the city, mainly measles and rubella. For 9 consecutive years, the prevalence of RFls ranged from 4.84 to 30.01 per 100,000 range, with 0 to 4 years and over 25 years as high-risk age groups. There were 2,136 males and 1,928 females with a sex ratio of 1.11: 1. Rubella “0” dosage rate was 13.41%, measles “0” dose rate of 10.26%; male rubella “0” dose rate and measles “0 ” dose rate was 16.20% 13.58%, all higher than female (10.32%, 6.59%) (P <0.01). Among the RFls immunization history “0”, the incidence of measles vaccine in infants and young children <8 months old and the population over 6 years old showed an upward trend with a statistically significant difference (P <0.01); rubella vaccine 1-25 The total number of 226 cases of old people and “0” cases accounted for 41.47% of rubella vaccine “0”, the difference was statistically significant (P <0.01). Conclusions RFls cases are one of the main diseases that have not been effective in controlling the health of the people at risk. Practical interventions should be taken. Infants and young children <8 months old, people over 25 years old and male workers are the key points and points of prevention.