开江县部分流行性乙型脑炎患儿后遗症调查

Investigation on Sequel in Infants with Epidemic Encephalitis B in Kaijinag County

[目的]了解乙脑患儿后遗症发生情况及其影响因素，为制订控制措施提供科学依据。[方法]1996年和2007年分别对开江县1995年和2006年发生的乙脑患儿病例进行后遗症调查。[结果]合计调查乙脑患儿63例，留有后遗症的13例，发生率为20．63％。后遗症发生率，1995年、2006年分别为21.88％、19．35％，男性、女性分别为20．93％、20．00％，2～7岁和其他年龄分别为23．64％、0／8（P〉0．05）；轻型、普通型为2、50％，重型、极重型为52．17％（P〈0．01）；人院时发病4d以上者为33．33％，发病0～3d者为9．09％（P〈0.05）。13例乙脑后遗症者中，9例有神经系统后遗症，3例有精神方面后遗症，1例有植物神经系统后遗症。[结论]开江县乙脑后遗症发生率较高。

[Objective]To explore the status of sequel in infants with epidemic encephalitis B and influencing factors. provide scientific basis for prevention and control of the disease, [Methods]Investigation on the sequel in infants with epidemic encephalitis B reported in 1995 and 2006 in Kaijiang county was conducted in 1996 and 2007, [Results]63 infants with epidemic encephalitis B were investigated,among them 13 infants had sequel, accounting for 20, 63%. The incidence was 21, 88% in 1995 and 19.35% in 2006, It was 20, 93% in male infants and 20. 00% in female infants. It was 23.64% and 0/8 in the infants aged 2-7 years old and other ages （ P 〉0.05）. It was 2.5% in infants with slight and general symptoms while it was 52.17% in infants with severe and very severe symptoms （ P 〈0.01）. 33.33% of the infants were admitted to the hospital 4 days later after the onset of the disease. 9.09 % of them were admitted to the hospital 0-3 days later after the onset of the disease （ P 〈0.05 %. Among 13 infants with sequel, 9 had the sequel in nervous system, 3 had mental sequel and 1 had the sequel in vegetative nervous system. [Conclusion]The occurrence of sequel in infants with epidemic encephalitis B was higher in Kaijiang county.