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目的了解杞县狂犬病暴露者犬伤特点和流行病学特征,为狂犬病的防制提供科学依据。方法收集2014年1~12月份到杞县疾病预防控制中心门诊就诊的犬伤患者,回顾性分析各狂犬病暴露者的登记资料。结果 2014年门诊共接诊3372例,16~45岁被咬伤人数最多,占60.11%;致伤动物主要是犬,占87.57%;受伤部位以四肢为多,占77.25%;Ⅱ级3251例(96.41%),Ⅲ级121例(3.59%),伤口处理者占88.79%,全程接种狂犬疫苗者占91.19%,注射狂犬病免疫球蛋白者占5.49%。结论杞县狂犬病暴露人数较多,应做好犬类动物管理及免疫工作,同时加强宣传力度,提高免疫接种率,接种门诊医护人员及时正确的处理伤口是狂犬病防治的关键。
Objective To understand the characteristics and epidemiological characteristics of dog injuries in rabies exposed in Qi County and to provide a scientific basis for the prevention and control of rabies. Methods From January to December 2014, we collected dog records from outpatient clinics in Qixian Center for Disease Control and Prevention and retrospectively analyzed the registration data of rabies exposed persons. Results A total of 3372 cases were diagnosed in the outpatient department in 2014, with the highest number being bitten at 16-45 years old, accounting for 60.11%. The animals were mainly dogs, accounting for 87.57% of the total; the limbs were mostly extremities, accounting for 77.25%; Grade 3251 (96.41%), Ⅲ grade 121 cases (3.59%), wound treatment accounted for 88.79%, 91.19% were vaccinated rabies vaccines, and 5.49% were injected rabies immunoglobulin. Conclusions There is a large number of rabies in Qixian County, which should be well managed and immunized. At the same time, efforts should be made to increase publicity and immunization coverage rate. Inoculation of outpatient medical staff to timely and correctly treat wounds is the key to rabies prevention and control.