2010—2014年南京市肠道门诊监测病例分析

Analysis on intestinal clinic monitoring cases in Nanjing City from 2010-2014

目的了解2010-2014年南京市肠道门诊监测病例流行病学特征,为制定控制措施提供依据。方法利用excel 2007软件对病例进行统计处理,采用描述流行病学方法进行流行病学特征分析。结果各级医疗机构肠道门诊共报告腹泻病例235 497人次,年均为47 100人次。其中肠炎占91.28%,消化不良占4.80%;发病呈逐年下降趋势,主要集中在6-9月;<5岁儿童病例数最多,≥20岁病例数基本呈现随年龄增加而减少的现象,老年人发病数最低;男性病例数大于女性,男女之比为1.11:1;职业分布居前3位的依次为散居儿童、农民、工人,分别为21.32%、15.60%和15.58%。志贺菌分离培养阳性的菌株中福氏志贺菌占52.17%,宋内菌占42.14%。结论南京市腹泻病流行特征与肠道传染病基本一致。

[Objective]To understand the epidemiological characteristics of intestinal clinic monitoring cases in Nanjing City from2010-2014,provide the basis for developing the control measures.[Methods]The cases data were statistically treated with excel2007 software,and the epidemiological characteristics were analyzed by the descriptive epidemiology method.[Results]A total of235 497 diarrhea cases were reported in intestinal clinics of different medical institutions,with an annual average of 47 100 cases.The enteritis and dyspepsia cases accounted for 91.28%and 4.80%respectively.The incidence rate decreased gradually,and the peak season appeared June to September.The patients under 5 years old accounted for the greatest proportion,the case number of patients over 20 years old reduced with increasing of age,and case number of elderly patients was the lowest.The male patients were more than the female patients,with male-to-female ratio of 1.11：1.The occupational distribution showed that the top three occupations were scattered children,farmers and workers,which respectively accounted for 21.32%,15.60%and15.58%.In Shigella-positive isolates,Shigella flexneri accounted for 52.17%and Shigella sonnei accounted for 42.14%.[Conclusion]The epidemiological characteristics of diarrhea in Nanjing City agree with that of intestinal infectious diseases.