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目的了解余杭州市杭区流行性腮腺炎(流腮)的流行特征,为制定有效的防控策略提供科学依据。方法利用余杭区疾病预防控制中心疫情档案资料及国家疾病预防控制系统传染病报告系统资料,采用描述性流行病学方法,对2004-2010年流腮疫情及暴发情况进行分析。结果杭州市余杭区2004-2010年共发生流腮病例2582例,平均年发病率为43.86/10万,其中男性发病数为1612例,女性发病数970例,性别比为1.66∶1,两者年平均发病率之间差异有统计学意义(χ2=25.23,P<0.05)。发病有明显的季节性,发病人群主要为15岁以下儿童和青少年,暴发疫情主要集中在中小学校和幼托机构。结论杭州市余杭区流腮的发病率仍然较高,建议借鉴国内外经验,除18～24月龄接种麻腮风三联疫苗外,应在6岁组即学龄前儿童接种麻腮风三联疫苗,以加强免疫效果,有效控制流腮的流行和暴发。
Objective To understand the epidemiological characteristics of mumps (Mumps) in Hangzhou district of Yuhang City and provide a scientific basis for formulating effective prevention and control strategies. Methods By using the epidemiological data of Yuhang District CDC and the information system of infectious diseases of CDC, the descriptive epidemiological method was used to analyze the epidemic situation and outbreak of mumps in 2004-2010. Results A total of 2582 cases of mumps were found in Yuhang District of Hangzhou City from 2004 to 2010. The average annual incidence was 43.86 / 100 000, of which 1612 were male, 970 were female and the sex ratio was 1.66:1 The average annual incidence of the difference was statistically significant (χ2 = 25.23, P <0.05). The incidence was significantly seasonal, the incidence of mainly children and adolescents under the age of 15, the outbreak mainly concentrated in primary and secondary schools and child care institutions. Conclusions The incidence of gondola in Yuhang District of Hangzhou City is still high. It is recommended to draw lessons from the experience both at home and abroad. In addition to immunization with MMR vaccine at 18-24 months, MMR should be vaccinated in 6-year-old group, In order to enhance the immune effect and effectively control the epidemic and outbreak of gills.