2010-2011年江苏省常州市发热呼吸道及发热肺炎病例监测分析

Surveillance of febrile respiratory illness and pneumonia in Changzhou,2010-2011

目的通过分析江苏省常州市发热呼吸道及发热肺炎病例监测情况,为合理控制呼吸道类传染病提供依据。方法收集2010-2011年常州市发热及发热肺炎监测数据和南方省份同时期数据,分析流行趋势,掌握流行规律。结果 2010-2011年常州市监测医院共发现发热呼吸道患者45 635例,占门急诊就诊总数的2.18%,发热肺炎病例7281例,占发热病例的15.95%;2010年发热肺炎病例占发热病例的比例高于2011年水平(F=13.225,P<0.05);2010年和2011年发热比例和肺炎比例呈正相关性(r=0.251,P<0.05);2010年和2011年常州市在发热呼吸道病例占门急诊就诊比例低于南方省份同期水平,差异有统计学意义(t=8.937,P<0.05;t=10.655,P<0.05)。结论发热及发热肺炎监测是一项长期、连续的监测工作,应与流感监测和突发公共卫生监测等系统紧密结合,形成一个全面的监测网络。

Objective To understand the incidences of febrile respiratory illness and pneumonia in Changzhou and provide evidence for the control of respiratory communicable diseases. Methods The analyze was conducted on the surveillance data of febrile respiratory illness and pneumonia in Changzhou and in other southern provinces from 2010 to 2011. Results A total of 45 635 cases of febrile respiratory illness, accounting for 2. 18% of total outpatient visits, were reported in 3 sentinel hospitals in Changzhou during this period, and 7281 cases were diagnosed with pneumonia, accounting for 15.95% of total febrile cases. The proportion of pneumonia cases in febrile cases in 2010 was significantly higher than that in 2011 （ F = 13. 225, P 〈 0.05 ）. Positive correlation existed between febrile cases and pneumonia cases （r = 0. 251, P 〈 0. 05 ）. The proportions of febrile cases in outpatient and emergency departments of Changzhou were lower than those in other southern provinces, the differences were statistically significant. （ t = 8. 937, P 〈 0. 05 ; t=10. 655, P 〈 0. 05 ）. Conclusion The surveillance of febrile respiratory illness and pneumonia is a long-term and consecutive work and should be integrated into the surveillance system for influenza and public health emergency.