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张少白, 李艺星, 杨俊峰, 刘西珍, 夏雪琴, 尹遵栋, 梁国栋, 武继守, Chutima Suraratdecha. 陕西省2005年病毒性脑炎监测结果分析[J]. 中国公共卫生, 2007, 23(9): 1114-1116. DOI: 10.11847/zgggws2007-23-09-45
引用本文: 张少白, 李艺星, 杨俊峰, 刘西珍, 夏雪琴, 尹遵栋, 梁国栋, 武继守, Chutima Suraratdecha. 陕西省2005年病毒性脑炎监测结果分析[J]. 中国公共卫生, 2007, 23(9): 1114-1116. DOI: 10.11847/zgggws2007-23-09-45
ZHANG Shao-bai, LI Yi-xing, YANG Jun-feng, . Analysis on surveillance data for viral encephalitis of 2005 in Shanxi province[J]. Chinese Journal of Public Health, 2007, 23(9): 1114-1116. DOI: 10.11847/zgggws2007-23-09-45
Citation: ZHANG Shao-bai, LI Yi-xing, YANG Jun-feng, . Analysis on surveillance data for viral encephalitis of 2005 in Shanxi province[J]. Chinese Journal of Public Health, 2007, 23(9): 1114-1116. DOI: 10.11847/zgggws2007-23-09-45

陕西省2005年病毒性脑炎监测结果分析

Analysis on surveillance data for viral encephalitis of 2005 in Shanxi province

  • 摘要: 目的 通过对陕西省安康、宝鸡、渭南3个地区病毒性脑炎的监测,了解病毒性脑炎流行病学特征及流行性乙型脑炎(乙脑)发病情况。方法 采用ELISA法检测乙脑IgM;由监测医院报告病例,县级疾病预防控制中心进行个案调查。结果 398例病例中,乙脑IgM阳性病例76例,占19.10%。在发病7 d内、7 d后采集的血标本、脑脊液标本阳性率分别为26.24%,18.18%和20.59%,其阳性率差异无统计学意义。发病7 d内与7 d后采集的血标本与脑脊液检测结果一致率分别为86.67%和80.00%。病毒性脑炎发病6~9月较高,与乙脑IgM阳性病例时间分布基本一致,11月病毒性脑炎病例出现一个小高峰;病毒性脑炎病例中15岁以下占73.62%,乙脑IgM阳性病例中0~5岁最高占36.84%,其他病毒性脑炎5~10岁组最高占40.68%;乙脑IgM阳性病例中散居儿童和农民占比例较高为71.05%,其他病毒性脑炎学生占比例较高为56.83%;未接种及接种史不详在乙脑IgM阳性病例中占76.31%;出院时转归,乙脑IgM阳性病例和其他病脑治愈比例分别为67.11%,83.23%,病死率分别为9.21%,3.11%。结论 乙脑病例在发病7 d内和7 d后采血进行IgM检测对乙脑诊断均有意义。应提高乙脑疫苗接种率,在作好儿童乙脑防治的同时,加强对成人乙脑防控工作。

     

    Abstract: Objective The epidemioligical char acteristics of viral encephalit is and proportion of Japanese B Encephalitis (JE)in viral encephalitis in Shanxi province were known by analyzing surveillance data for viral encephalitis in Ankang,Baoji and Weinan cities.Methods Elisa method for JE IgM test was used;data were reported level by level and analyzed by Epidata and Excel softwares.Results In 398 cases,cases with positive JE IgM occupied 19.10%(76 cases).Rates of positive blood specimens collected within 7 days,after 7 days after onset and rate of positive cerebr ospinal fluid(CSF)were respectively 26.24%,18.18% and 20.59%.There was no statistic significance during positive rates.Concordance rates of results between blood specimens collected within 7 days and after 7 days after onset and CSF were respectively 86.67% and 80.00%.Tendency of onset for viral encephalitis and JE were similar dur ing June to September,but viral encephalitis slightly peaked in November.Cases aged less than 15 years old in viral encephalitis cases occupied 73.62%;JE IgM positive cases aged less than 5 years old were the highest,36.84%;5~10 age group in the other viral encephalitis cases occupied hig hest,40.68%.Dispersive children and peasants in JE IgM poitive cases occupied higher,71.05%,students in the other viral encephalitis cases occupied higher,56.83%.JE IgM positive cases with no vaccination history and with unknown vaccination history occupied 76.31%.67.11% of JE IgM positive cases were cured and case fatality ratio was 9.21%,83.23% of the other virual encephalitis cases were cured and case fatality ration was 31.1%.Conclusion Blood collection within 7 days and after 7 days after onset for JE IgM test is significant for JE diagosis.Strengtheninglab and epidemiologic surveillance for viral encephalitis will provide important basis for JE/viral encephalitis control.While JE vaccination rate is improved and JE prevention and control in children is done better,JE prevention and control in adult especially peasants should be strengthened.

     

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