摘要
目的了解深圳华侨城医院狂犬病门诊暴露人群流行病学特征及暴露后处置情况。方法对2016年来深圳华侨城医院就诊的狂犬病暴露人群进行统计学分析。结果 2016年深圳华侨城狂犬病门诊共处置1 546例狂犬病暴露者,暴露人群的男女性别比为1∶1. 16,20～39岁组人群占61. 64%,是狂犬病暴露高危人群;伤人动物以犬致伤最多,占60. 70%,其中犬伤中的宠物犬伤743例,占47. 48%。;暴露部位以上肢为居多,占62. 74%;暴露分组Ⅱ级暴露占95. 54%;门诊伤口处理率为98. 12%;Ⅲ级暴露者狂犬病免疫球蛋白的接种率为12. 90%;所有接种狂犬病疫苗患者和Ⅲ级暴露接种人用狂犬免疫球蛋白的患者,均无发生异常反应。结论必须加大群众的健康教育宣传力度,提高人们自我防范意识;加强犬类管理,减少暴露发生;加强狂犬病门诊的处置培训,提高Ⅲ级暴露者人用狂犬病免疫球蛋白使用率。
Objective To recognize the epidemiological characteristics and post exposure treatment of rabies patients in Shenzhen Overseas Chinese Town Hospital. Methods Statistical analysis was made on the people exposed to rabies in Shenzhen Overseas Chinese Town Hospital since 2016. Results In 2016, 1546 rabies-exposed cases were treated in the outpatient department of Shenzhen Overseas Chinese Town Hospital, the sex ratio of male and female cases was 1∶ 1.16, and 61.64% of the group aged 20~39 were in the high risk group of rabies exposure. Dogs were the most damaging animals, accounting for 60.70%, among which 743 cases (47.48%) were injured by pet dogs. The most exposed locations were upper limbs, accounting for 62.74%. Exposure in Group Ⅱ was 95.54%. The rate of wound treatment in outpatient department was 98.12%. The inoculation rate of rabies immunoglobulin was 12.90% in Grade Ⅲ exposed cases. There was no abnormal reaction in all patients inoculated with rabies vaccine and Grade Ⅲ exposure to rabies immunoglobulin for human use. Conclusion It is necessary to strengthen the mass’s health education and publicity, raise people’s consciousness of self-prevention, strengthen dog management and reduce exposure, improve the training of rabies outpatient treatment and increase the utilization rate of rabies immunoglobulin for people with Grade Ⅲ exposure.
作者
胡春明
张功模
HU Chunming;ZHANG Gongmo(Shenzhen OCT Hospital, Shenzhen 518053, China)
出处
《现代医院》
2019年第4期550-551,556,共3页
Modern Hospitals
关键词
狂犬病
暴露人群
流行特征
Rabies-exposed Populations
Epidemic Characteristics
