2004-2010年广西伤寒与甲型副伤寒流行特征对比分析

目的 了解广西伤寒与甲型副伤寒流行特征的异同点,为有效防控伤寒与甲型副伤寒提供科学依据.方法 利用2004 - 2010年广西传染病报告数据,分析伤寒与甲型副伤寒的时间、地区及人群分布特征.结果 广西伤寒与甲型副伤寒的年报告发病率基本呈平行下降趋势,发病高峰分别在每年7月和8月,后者晚1个月,两者发病曲线相似；二者呈现明显地区流行特征,且地区分布具有高度相关性(r=0.938,P＜0.001)；两病病例男性均多于女性,但发病率很接近；伤寒在各年龄段人群的发病率较为均衡,甲型副伤寒则以5～30岁年龄段人群发病率较高；两病病例均以农民、学生、散居儿童和工人为主,伤寒以农民发病最多,而甲型副伤寒以学生最多.结论 广西伤寒与甲型副伤寒应以农村和学校作为防控重点,且均应加强病人的规范治疗与管理.

Comparisons of epidemic features of typhoid and paratyphoid A in Guangxi, 2004- 2010

Objective To compare the epidemic features of typhoid and paratyphoid A in Guangxi.Methods The distributional features of time,region and population of typhoid and paratyphoid A were compared by analyzing infectious disease reporting data from 2004 to 2010 in Guangxi.Results The annual reporting incidence rates of typhoid and paratyphoid A in Guangxi both had a parallel downtrend.Both incidence curves were similar,with the peak incidence of typhoid and paratyphoid A in July and August,respectively.Both diseases showed dominant regional features,and the two diseases were highly relevant in terms of regions（r=0.938,P0.001）.Even though males were more than females in both diseases,their incidence rates were very similar.Among different ages,the incidence rates of typhoid were similar,whereas the incidence age of paratyphoid A culminated at 5 to 30 years old.Peasants,students,scattered children and workers topped the occupation list of both diseases,with peasants topping of typhoid and students topping of paratyphoid A.Conclusions As the prevention and control of typhoid and paratyphoid A are concerned,emphasis should be focused on countryside and school,and both are to be strengthened in the standardized treatment and management of patients.