五河县1988～1998年HFRS流行病学分析

An epidemiological analysis of HFRS in Wuhe county, 1988～1998

目的 了解安徽省五河县 1988～ 1998年肾综合征出血热 (HFRS)的流行情况。方法 用流行病学方法对五河县 HFRS流行特征和临床特性进行分析。结果 1988～ 1998年 HFRS年发病率为 0 .78/ 10万～ 6 .89/ 10万 ,1995年前逐年缓慢上升 ,之后又缓慢下降 ,呈明显的秋冬单峰型 ,在洪涝灾害中 ,HFRS发病率及发病区域有明显上升和扩展的趋势。2 2 7例患者中发病年龄以 2 0～6 0岁为主 ,占总病例的 85 .46 % ;男女比例为 3.6 3∶ 1,农民占 85 .90 % ,临床类型为轻型 5 1.0 8% ,中型 33.87% ,重型 10 .2 2 % ,危重型 4.83%。结论 五河县属于中低度 HFRS流行区 ,今后应加强HFRS防治。

Objective To understand epidemiological and clinical feature of hemorrhagic fever with renal syndrome (HFRS) of Wuhe county in 1988～1998.Methods Epidemiological principles and methods were used. Results HFRS incidence rate of year was 0.78～6.89 per 100 000 , Before 1995,the incidence of HFRS was presented in type of single peak winter autumn seasons. It slowly rose year by year then dropped. The incidence area changed similarly. It obviously rose and expanded in waterlogging or flooded period. Most of 227 cases were 20～60 years old (85.46%), mostly were peasants (85.9%); The male incidence rate was 3.63 times that of females, The clinical type was: mild (51.08%), moderate (33.87%), severe (10.22%) and very severe (4.83%). Conclusions Wuhe county belongs to mild moderate epidemic area of HFRS, A control measure was proposed to carry out by the author.