云南省路南彝族自治县小儿急性腹泻病流行病学调查

An Epidemiological Survey of Acute Diarrhea in Rural Yizu Minority Children under 5 Years of Age in Lunan County

1986—1987年对云南省路南县5岁以下儿童随机抽样1016例,每月调查急性腹泻病发病情况。结果表明年发病率为1.43±0.07次/年。6月至1岁组发病率最高。4、5、6月为发病高峰季节,病原学检查以产肠毒素埃希氏大肠杆菌为主占39.1％,其次为轮状病毒,占26％。两年定群研究得出小儿急性腹泻病发病危险因素为饮用溏水沟水,随地大小便,多子女家庭与体弱多病儿童及人畜共居等。因此,改善供水,培养卫生习惯,加强计划生育等措施是该县防治本病主导措施。

A prospective survey was made on acute diarrhea in rural Yizu minority children under 5 years of age in Lunan County, Yunnan Province between 1986-1987. Through the investigation of 2 years of 1016 children under 5 years of age, the incidence of acute diarrhea was 1.43±0.07 times per child—year. The highest incidence rate was in the childen aged 0.5—1 year. The epidemic season was from April to June, but the cases occurred all the year round. ETEC was the most frequently identified pathogen (39.1%) and rotavirus the second (26%). The main risk factor of the acute diarrhea was drinking pond and ditch water.