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中国各类疫源地鼠疫病死率对比分析
引用本文:刘振才,周晓磊,姚晓恒,张贵军,徐成,丛显斌.中国各类疫源地鼠疫病死率对比分析[J].中国地方病防治杂志,2010(6):422-425.
作者姓名:刘振才  周晓磊  姚晓恒  张贵军  徐成  丛显斌
作者单位:中国疾病预防控制中心鼠疫布氏菌病预防控制基地;
摘    要:目的了解不同年代我国人间鼠疫的病死率,及疫源地类型、病型、年龄和性别对病死率的影响。方法运用卡方检验、Fisher确切概率法对鼠疫病死率进行比较分析。结果建国前病死率(78.00%)明显高于建国后(34.01%)。建国初期为35.26%,之后呈波浪式起伏,90年代后呈明显下降趋势。各疫源地建国前后的病死率也存在显著性差异,1945-1969年旱獭疫源地病死率(89.52%)最高,依次为黄鼠疫源地(83.00%)、长爪沙鼠疫源地(81.31%)、黄胸鼠疫源地(70.76%)。建国后肺型(78.04%)和败血型(77.08%)鼠疫病死率较高,腺型(26.99%)和皮肤型(15.00%)病死率较低;儿童病死率(48.78%)和中老年病死率(48.83%)高于青少年病死率(39.94%);男女病死率无统计学差异。结论早期发现及时治疗可以大幅度降低鼠疫病死率;病型、疫源地类型与病死率有较高的相关性;青少年病死率较低,性别与病死率无关。

关 键 词:鼠疫  病死率  疫源地  影响因素

The study on fatality rate in plague focus in China
LIU Zhen-cai,ZHOU Xiao-lei,YAO Xiao-heng,et al.The study on fatality rate in plague focus in China[J].Chinese Journal of Control of Endemic Disenaces,2010(6):422-425.
Authors:LIU Zhen-cai  ZHOU Xiao-lei  YAO Xiao-heng  
Institution:LIU Zhen-cai,ZHOU Xiao-lei,YAO Xiao-heng,et al(Chinese Center for Diseases Control and Prevention,The Base for Control and prevention of Plague and Brucellosis,Baicheng 137000)
Abstract:Objective To understand the different period of plague fatality rate and the correlation between disease types,focus type,age,gender and mortality.Methods Chi-square Test and Fisher's Exact Test was used in fatality rate.Results Before the founding of fatality rate(78.00%) high in after the founding of the fatality rate(34.01%).The fatality rate of founding is 35.26%,after that ups and downs until the end of the 1990s.In 1945 to 1969 agrarius fatality rate of 25 years,in Marmota plague focus(89.52%) high in...
Keywords:Plague  Fatality rate  Focus  Affecting factors  
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