狂犬病37例临床分析

Clinical analysis for 37 patients with rabies

目的:探讨近十年来青岛市狂犬病病例的临床特点和针对狂犬病应采取的主要防治措施,以期降低狂犬病发病率。方法:对青岛市传染病医院2005年5月至2014年4月诊治的37例狂犬病患者的流行病学和临床资料进行回顾性分析。结果:本组患者平均年龄49.65±15.69岁,男女比例27:10,以农民为主(94.60%),患者全部死亡,死亡与没有规范处理伤口和预防接种密切相关。结论:本病尚无特效治疗,死亡率100%在全社会尤其是广大的农村地区加强狂犬病预防知识宣传教育,做好暴露前自我防护和暴露后规范处置是防治狂犬病的主要措施;多部门协作加强携带狂犬病毒动物管理,尤其是公民自觉守法按照规范饲养管理犬只,也是预防狂犬病的重要措施。

Objective： To explore the clinical characteristics of rabies cases in Qingdao during the recent ten years and fred the main prevention and control measures for rabies.Our aim was to reduce the incidence of rabies. Methods： The epidemiological and clinical characteristics of 37 patients with rabies in Qingdao Municipal Infectious Disease Hospital from May 2005 to April 2014 were retrospectively analyzed. Results： Allthepatients, with an avcrage age of49.65^-15.69 years old, weredcath. They were mainly farmers （94.60%）, and the ratio of man and women was 27：10, which had closely related with no dealing the wound rightly and no correct preventive inoculation. Conclusion： There was no effect treatment method on rabies at present, with the moffality rate 100%. But it was the main measure of prevention and control for rabies that strengthening propaganda and education about the knowledge of rabies prevention, self- protection before exposure and specification disposal ai%r exposure in the whole society especially in the vast rural areas.It was also important measure that strenthening management of the animals which carry rabies virus by multi-sectorai cooperation, especially breeding and managing the dogs in accordance with the standards for the citizen.