山东省2001-2003年流行性腮腺炎临床诊断病例流行病学调查分析

Epidemiological Survey on Clinical Diagnosed Mumps From 2001-2003 in Shandong

目的了解山东省流行性腮腺炎（腮腺炎）的流行病学特征。方法2004年6月采用回顾性流行病学调查方法对山东省2001～2003年在县（区、市）级及以上医院诊断为腮腺炎的病例发病情况进行调查。结果共调查腮腺炎27280例，年平均调查发病率为10．09／10万；其发病特点是：全年均有发病，4～7月病例数占50．45％，6～10岁发病率高达96．87／10万；男、女性别比为2．07：1；并发症发生率为33．30％，其中脑膜炎或脑炎占81．82％。结论腮腺炎已成为危害儿童健康的主要传染病之一，建议在控制免疫规划针对传染病的同时，应加强腮腺炎的监测工作，开展腮腺炎免疫策略的研究，制定合理、规范、科学的疫苗接种方案并加以实施，以提高易感人群的免疫水平，从根本上减少腮腺炎发病。

Objective To understand the epidemiological characteristic of mumps in Shandong Province. Method A retrospective epidemiological survey of mumps from 2001 - 2003 was carried out in hospitals at county and above levels hospitals in June in 2004. Results 27,280 mump cases were investigated from 2001 -2003 and annual incidence was 10.09 per 100,000. The characteristics was that the mump cases occurred in the whole year and the beginning of summer. Male and female ratio was 2.07：1. The mumps complications ratio was 33.30 %, 81.82 % of them was meningitis or encephalitis. Conclusion Mumps was one of the severe diseases harmful to children and youngster in Shandong Province. We suggested that mumps surveillance should be conducted as routine work, meanwhile, studies on mump vaccine immunization strategy should be on for available implementation so as to improve immunization levels to reduce mumps incidence radically.