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目的通过了解延安市宝塔区流行性腮腺炎流行病学特征,为制定预防控制策略提供科学依据。方法对延安市宝塔区2012年1—6月腮腺炎疫情资料进行描述流行病学分析,并结合中医学进行辨证治疗。结果 2012年1—6月延安市宝塔区共报告腮腺炎病例204例,报告发病率为35.35/10万,比2011年上升了32.55/10万。发病主要分布在城乡接合部的南市办事处(31.37%)和宝塔办事处(25%);以学生和幼托儿童为主,占病例总数的89.71%,其中免疫规划目标儿童占90.20%;有免疫史、无免疫史、免疫史不详分别占64.22%、18.36%、17.16%。结论加强流动儿童管理和含腮腺炎成分的疫苗接种工作以及疫苗冷链管理工作,提高易感人群的免疫水平,提高接种医生的预防接种操作技能,对降低市区腮腺炎发病水平能够起到一定的效果,从根本上减少腮腺炎的发病。可采用中医中药对腮腺炎进行预防和治疗。
Objective To understand the epidemiological characteristics of mumps in Baota district of Yan’an and provide a scientific basis for making prevention and control strategies. Methods Epidemiological analysis of the epidemic data of mumps from January to June 2012 in Baota District, Yan’an City was conducted and the syndrome differentiation was combined with traditional Chinese medicine. Results From January to June 2012, 204 cases of mumps were reported in Baota District, Yan’an City. The reported incidence was 35.35 / 100 000, an increase of 32.55 / 100 000 over 2011. The incidence was mainly distributed in the urban and rural areas of the junction of the Nanshi office (31.37%) and the pagoda office (25%); mainly students and childcare children, accounting for 89.71% of the total number of cases, of which immunization programs target children accounted for 90.20% Immunization history, no history of immunization, unknown history of immunization accounted for 64.22%, 18.36%, 17.16%. Conclusions To strengthen the management of migrant children and the vaccination work with mumps and the cold chain management of vaccine so as to raise the immunization level of susceptible population and improve the vaccination operation skills of vaccinated doctors can play a certain role in reducing the incidence of mumps in urban areas The effect of reducing the incidence of mumps fundamentally. Traditional Chinese medicine can be used to prevent and treat mumps.