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目的了解莱州市发热伴血小板减少综合征病例的发病特点和流行特征。方法采用描述流行病学方法对莱州市2011-2013年报告的发热伴血小板减少综合征病例的发病诊治情况及流行特征进行分析。结果莱州市2011-2013年报告60例实验室确诊病例,分布在辖区内88.24%(15/17)的乡镇、5.70%(58/1 018)的村;男性29例,女性31例,男女性别比0.94∶1。95.00%的病例为农民,98.33%的病例为40岁以上的中老年人,发病时间集中在4~10月之间,发病高峰在每年5~7月。14例病例死亡,病死率高达23.33%;病例主要症状为发热、乏力、全身肌肉酸痛及纳差、恶心、呕吐等胃肠道症状。结论发热伴血小板减少综合征在莱州市分布范围广,呈高度散发状态,发病人群主要是农村中老年人,病例分布有明显季节性,应加强对农村中老年高危人群防病知识宣传,开展医务人员技术培训,努力降低病死率。
Objective To understand the incidence and epidemiology of fever with thrombocytopenia in Laizhou. Methods Descriptive epidemiological methods were used to analyze the incidence and prevalence of fever with thrombocytopenia reported in 2011-2013 in Laizhou City. Results In 2011-2013, Laizhou reported 60 laboratory confirmed cases, which were distributed in 88.24% (15/17) villages and towns and 5.70% (58/1 018) villages in the area; 29 males and 31 females, both men and women The cases with the ratio of 0.94: 1.95.00% were peasants, 98.33% cases were the middle-aged and the elderly with over 40 years of age, the onset time was between 4 and 10 months, and the peak incidence peaked from May to July each year. 14 cases died, the fatality rate was as high as 23.33%. The main symptoms of the cases were fever, fatigue, generalized muscle ache and gastrointestinal symptoms such as anorexia, nausea and vomiting. Conclusion Fever with thrombocytopenia syndrome in Laizhou City, a wide range of distribution was highly distributed, the incidence of the population is mainly in rural areas, the seasonal distribution of cases was seasonal, should strengthen the knowledge of disease prevention in rural middle-aged and high-risk groups, to carry out medical Personnel technical training, efforts to reduce mortality.