华南预防医学 ›› 2014, Vol. 40 ›› Issue (2): 167-168.doi: 10.13217/j.scjpm.2014.0167

• 流行病学研究与调查 • 上一篇    下一篇

西藏林芝地区2004—2012年麻疹流行状况分析

胡松林,彭志强,卓玛央金,刘采,张睿   

  1. 1.西藏林芝地区疾病预防控制中心,西藏 林芝 850400;2.广东省疾病预防控制中心
  • 收稿日期:2013-08-26 出版日期:2014-04-20 发布日期:2014-04-22
  • 作者简介:胡松林(1970—),男,大学本科,主管医师,主要从事传染病和免疫规划针对疾病的预防与控制、AEFI监测与处理等工作

Epidemiological analysis of measles in Nyingtri Prefecture, Tibet,2004—2012

HU Song-lin, PENG Zhi-qiang, ZHUO Ma yang-jin, LIU Cai, ZHANG Rui.   

  • Received:2013-08-26 Online:2014-04-20 Published:2014-04-22

摘要: 目的 了解西藏林芝地区2004—2012年麻疹流行状况,探讨预防和消除麻疹的策略。方法 采用描述性流行病学方法对林芝地区2004—2012年麻疹疫情监测数据及相关资料进行分析。结果 林芝地区2004—2012年共报告麻疹病例367例,年均发病率为23.55/10万。病例主要集中在察隅县和林芝县,分别占病例总数的83.92%(308/367)和11.17%(41/367);9—10月为发病高峰期,共报告312例,占发病总数的85.01%;男性194例,女性173例,男女性别比为1.12∶1;病例年龄主要集中在25岁以下年龄组,占发病总数的94.01%(345/367);病例职业以学生为主,占发病总数的47.41%(174/367),其次为散居儿童占23.16%(85/367)、农民占22.89%(84/367)。2006年9月发生1起暴发疫情,报告病例306例。结论 林芝地区麻疹发病处于较低水平,但仍有暴发疫情发生,应加强疫情监测,控制暴发疫情的发生。

Abstract: Results A total of 5 985 TB patients aged(31.05±10.88)years (mean±SD) were included in the study.Of them, 63.86% (3 822/5 985) were males, 36.14% (2 163/5 985) were females, and 94.72% (5 669/5 985) were floating population.The median of outpatient medical expenses was RMB 2 596.10 Yuan, in which the mean expenses of examination, supportive drugs, other drugs, and other fees were 1 512.14 (56.81%), 627.50 (24.33%), 348.80 (17.02%), and 43.75(1.84%)Yuan, respectively.Nonlocal, retreatment, and smear-negative patients had higher medical expenses than local, initial treatment, and smear-positive patients, respectively (P<0.01 for all).Multiple linear regression showed that nonlocal patients had ligher medical expenses than local patients (β=0.017, P<0.01), retreatment patients had higher expenses than initial treatment ones (β=0 093,P<0.01), smear-positive patients at the end of two months had higher expenses than smear-negative ones (β=0.048,P<0.01), and patients with pulmonary cavity had higher expenses than those without pulmonary cavity (β=0.043,P<0.01).Conclusion Examination expenses largely accounted for the total outpatient medical expenses of TB patients in Baoan District, Shenzhen.The medical expenses varied in different types of TB patients.

中图分类号: 

  • R511.1