2000-2011年广西壮族自治区南丹县流行性腮腺炎流行病学特征分析

目的了解2000—2011年广西壮族自治区南丹县流行性腮腺炎的流行病学特征,为今后制订防治措施提供科学依据。方法收集广西壮族自治区南丹县2000—2011年报告的流行性腮腺炎病例资料,采用Excel软件进行分析。结果该县过去12年共发现流行性腮腺炎2 015例,年平均发病率为57.78/10万（2 015/3 487 563）,2010年发病率达到139.87/10万（436/311 715）,2 015例患者中95.88%（1 932/2 015）未进行麻疹、腮腺炎和风疹的联合疫苗（MMR）接种;全年每月均有腮腺炎病例出现,分为4—6月和10—12月即初夏和冬季2个高峰期,第1个高峰期是5月份,占总病例数的13.05%（263/2 015）,第2个高峰期是12月份,占总病例数的10.02%（202/2 015）;0-14岁占总病例数的84.22%（1697/2 015）,其中0-6岁占28.73%（579/2 015）,7-14岁占55.48%（1 118/2 015）;男女之比为1.63∶1;全县11个乡镇均有病例报道,其中以城关、六寨和吾隘镇3个镇的发病人数最多,占总病例的51.71%（1 042/2 015）,发病人数最低者为中堡乡,12年中发现腮腺炎病例仅21例。结论该县流行性腮腺炎年均发病率高于全区41.20/10万的平均水平,因此,近2年发病率明显上升,需进一步加强儿童MMR的接种及补种工作。

Analysis on epidemiological characteristics of mumps in Nandan county diring 2000-2011

Objective To understand the epidemiological characteristics of mumps in Nandan county during 2000—2011 to provide a scientific basis for formulating the prevention and treatment measures in future.Methods The data of mumps case reports in this county during 2000—2011 were collected and performed the statistical analysis by the Excel software.Results 2 015 cases of mumps occurred in this county over the past 12 years,the average annual incidence rate was 57.78/100 000 and the incidence rate was 139.87/100 000 in 2010.Among 2 015 cases,95.88% of cases had no combination vaccination of measles,mumps and rubella（MMR）.The mumps cases appeared throughout the year,which showed the two peak period of April to June in early summer and October to December in winter.In the first peak period of May,the mump cases accounted for 13.05 % of the total number of cases.In the second peak period of December,the mump cases accounted for 10.02% of the total number of cases.0-14 year-old cases accounted for 84.22%.Among them,0-6 year-old cases accounted for 28.73% and 7-14 year-old cases accounted for 55.48%.The male to female ratio was 1.63∶1.The county＇s 11 townships both had the reported cases,Chenguan town,Liuzhai town and Wuai town had the maximal number of cases,accounting for 51.71% of total cases.Zhongbao village had the minimal number of cases,only 21 cases were found during these 12 years.Conclusion The average annual incidence rate of mumps in this county is higher than the average level of 41.20/100 000 in whole Guangxi autonomous region.In recent two years,the incidence rate is significantly increased,which needs to further strengthen children MMR vaccination and revaccination.