论文部分内容阅读
目的:分析犬伤暴露后到我院犬伤门诊就诊病例的流行病学相关因素,为制定狂犬病的防治策略提供科学依据。方法:采用描述性统计方法根据犬伤门诊记录,对就诊患者的年龄、性别、发病时间、暴露级别、伤口处理、疫苗接种和犬伤Ⅲ度暴露者狂犬免疫球蛋白的接种及伤人犬只情况等相关因素进行统计。结果:2008年我院犬伤门诊共接诊2 589例,咬伤人犬只的接种率为46.26%。就诊病例的年龄有两个高峰,分别是0~10岁组和21~30岁组。就诊时间除1~2月和11~12月病例较少外,全年各月份均在198~342人之间。犬伤暴露后,只有2.16%病例及时、正确地处理了伤口。100%的犬伤暴露者进行了狂犬疫苗的注射。犬伤Ⅲ度暴露中,狂犬免疫球蛋白的使用仅为28.4%。结论:加强犬类动物的管理,对家犬实行免疫,加强对低年龄组儿童的保护。做好狂犬病的防治和知识的宣传工作,合理设置犬伤医学门诊。加大政府投入力度提供全程、免费接种服务。
OBJECTIVE: To analyze the epidemiological factors related to canine outpatient visits after dog exposure in order to provide a scientific basis for the development of prevention and control strategies for rabies. Methods: Descriptive statistics were used to assess the age, sex, time of onset, level of exposure, wound treatment, vaccination and immunization of rabies immunoglobulin in dogs with Ⅲ degree of wounds The situation and other related factors for statistics. Results: In 2008, 2 589 cases of canine wounded outpatients were treated in our hospital. The inoculation rate of dogs was 46.26%. There are two peak age of treatment cases, respectively 0 to 10 years old group and 21 to 30 years old group. Except for 1 to 2 months and 11 to 12 months, the number of visits was between 198 and 342 in each month of the year. Dogs exposed, only 2.16% of cases in a timely manner, the correct treatment of the wound. 100% of dogs exposed to rabies vaccine. Ⅲ degree of canine wound exposure, the use of rabies immunoglobulin is only 28.4%. Conclusion: To strengthen the management of dogs, vaccinate domestic dogs and strengthen the protection of children in the lower age group. Do a good job in prevention and treatment of rabies and knowledge of publicity, reasonable set dog medical clinic. Increase government efforts to provide full, free vaccination services.