目的了解黑龙江省肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)人群发病情况及动物宿主感染情况,为HFRS防控措施的制定和调整提供科学依据。方法通过中国疾病预防控制信息系统收集2018—2023年黑龙江省HFRS病例信息,从...目的了解黑龙江省肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)人群发病情况及动物宿主感染情况,为HFRS防控措施的制定和调整提供科学依据。方法通过中国疾病预防控制信息系统收集2018—2023年黑龙江省HFRS病例信息,从黑龙江省疾病预防控制中心获取疫苗接种及鼠类宿主监测数据,对HFRS三间分布、人群疫苗接种情况、鼠类宿主感染率和带毒指数等进行分析。结果2018—2023年黑龙江省累计报告HFRS病例5233例,死亡34例,年报告发病率为1.60/10万~3.50/10万,总体呈下降趋势(χ^(2)_(趋势)=18.97,P<0.01),年均报告发病率为2.47/10万,年均报告死亡率为0.02/10万。2019—2022年黑龙江省人群HFRS疫苗接种数逐年上升,2023年略有减少。男、女报告病例数分别为4031例、1202例,发病率分别为3.79/10万、1.14/10万;报告病例数和发病率最高的年龄组均为50~59岁(1386例,3.54/10万);职业以农民为主(3170例,占60.58%)。发病呈双峰分布,主高峰出现在10—12月(2628例,占50.22%),次高峰在5月(471例,占9.00%)。发病率前5位的地区为双鸭山市(5.68/10万)、黑河市(5.54/10万)、鸡西市(4.76/10万)、鹤岗市(4.40/10万)、佳木斯市(4.34/10万);FlexScan空间聚集性扫描显示,双鸭山市、黑河市、鸡西市、鹤岗市、佳木斯市、牡丹江市、齐齐哈尔市、伊春市为一类聚集区。鼠类宿主监测显示,年均鼠密度为7.12%,年均带毒率为7.11%,年均感染率为7.16%,年均带毒指数为7.05。结论2018—2023年黑龙江省HFRS发病率呈下降趋势,但防控形势依然严峻。今后仍需加强高危人群健康教育和预防性接种工作,同时加强和完善鼠类宿主动物监测,提高HFRS监测预警能力。展开更多
Objective: to analyze the effect of transforaminal lumbar interbody fusion in the treatment of high lumbar disc herniation. Methods: 55 patients with high lumbar disc herniation were selected for this study. There was...Objective: to analyze the effect of transforaminal lumbar interbody fusion in the treatment of high lumbar disc herniation. Methods: 55 patients with high lumbar disc herniation were selected for this study. There was no difference in basic data between the patient groups (P > 0.05), with statistical significance. To analyze the effect of transforaminal lumbar interbody fusion in the treatment of high lumbar disc herniation, such as the relief of headache, lumbago, chest pain and leg pain before and after operation. Results: 55 patients underwent interbody fusion through the intervertebral foramen, and no abnormal operation occurred. After the operation, the pain of the patients decreased significantly and the VAS was lower than 5, indicating that the operation was effective. At the same time, the patients were followed up for 12 months. The numbness of the lower limbs was relieved. At the same time, many functional indicators of the patients were improved, such as backache and sphincter function. During the last follow-up, the patient's lumbar dynamic position and X-ray diagnostic results showed that the patient's internal fixation system did not have fracture and loosening problems, and at the same time, the fusion cage did not sink, thus improving the patient's symptoms and promoting the degree of bone graft fusion of the patient. Conclusion: transforaminal interbody fusion can effectively treat high-level lumbar disc herniation, improve the quality of life of patients, and improve low back pain, leg pain, headache and chest pain after operation. It is recommended to be popularized.展开更多
文摘目的了解黑龙江省肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)人群发病情况及动物宿主感染情况,为HFRS防控措施的制定和调整提供科学依据。方法通过中国疾病预防控制信息系统收集2018—2023年黑龙江省HFRS病例信息,从黑龙江省疾病预防控制中心获取疫苗接种及鼠类宿主监测数据,对HFRS三间分布、人群疫苗接种情况、鼠类宿主感染率和带毒指数等进行分析。结果2018—2023年黑龙江省累计报告HFRS病例5233例,死亡34例,年报告发病率为1.60/10万~3.50/10万,总体呈下降趋势(χ^(2)_(趋势)=18.97,P<0.01),年均报告发病率为2.47/10万,年均报告死亡率为0.02/10万。2019—2022年黑龙江省人群HFRS疫苗接种数逐年上升,2023年略有减少。男、女报告病例数分别为4031例、1202例,发病率分别为3.79/10万、1.14/10万;报告病例数和发病率最高的年龄组均为50~59岁(1386例,3.54/10万);职业以农民为主(3170例,占60.58%)。发病呈双峰分布,主高峰出现在10—12月(2628例,占50.22%),次高峰在5月(471例,占9.00%)。发病率前5位的地区为双鸭山市(5.68/10万)、黑河市(5.54/10万)、鸡西市(4.76/10万)、鹤岗市(4.40/10万)、佳木斯市(4.34/10万);FlexScan空间聚集性扫描显示,双鸭山市、黑河市、鸡西市、鹤岗市、佳木斯市、牡丹江市、齐齐哈尔市、伊春市为一类聚集区。鼠类宿主监测显示,年均鼠密度为7.12%,年均带毒率为7.11%,年均感染率为7.16%,年均带毒指数为7.05。结论2018—2023年黑龙江省HFRS发病率呈下降趋势,但防控形势依然严峻。今后仍需加强高危人群健康教育和预防性接种工作,同时加强和完善鼠类宿主动物监测,提高HFRS监测预警能力。
文摘Objective: to analyze the effect of transforaminal lumbar interbody fusion in the treatment of high lumbar disc herniation. Methods: 55 patients with high lumbar disc herniation were selected for this study. There was no difference in basic data between the patient groups (P > 0.05), with statistical significance. To analyze the effect of transforaminal lumbar interbody fusion in the treatment of high lumbar disc herniation, such as the relief of headache, lumbago, chest pain and leg pain before and after operation. Results: 55 patients underwent interbody fusion through the intervertebral foramen, and no abnormal operation occurred. After the operation, the pain of the patients decreased significantly and the VAS was lower than 5, indicating that the operation was effective. At the same time, the patients were followed up for 12 months. The numbness of the lower limbs was relieved. At the same time, many functional indicators of the patients were improved, such as backache and sphincter function. During the last follow-up, the patient's lumbar dynamic position and X-ray diagnostic results showed that the patient's internal fixation system did not have fracture and loosening problems, and at the same time, the fusion cage did not sink, thus improving the patient's symptoms and promoting the degree of bone graft fusion of the patient. Conclusion: transforaminal interbody fusion can effectively treat high-level lumbar disc herniation, improve the quality of life of patients, and improve low back pain, leg pain, headache and chest pain after operation. It is recommended to be popularized.
