目的分析十堰市城区狂犬病暴露人群流行病学分布状况及犬只管理现况,为加强犬只管理、控制狂犬病提供依据。方法收集909例狂犬病暴露病例案资料进行描述性分析。结果十堰市城区2012年共接诊909例狂犬病暴露患者,全年各季度均有就诊病例,以二、三季度居,占接诊量的56.55%;暴露人群覆盖各年龄组,以20~岁居多,占接诊量的45.76%;男性暴露多于女性,男女比例1.09∶1;肇事动物以犬、猫为主,占95.16%,Ⅱ、Ⅲ度暴露患者97.79%。通过回顾性调查发现动物在公共场所伤人居多,占65.89%;家养、流浪动物分别占80.08%、19.91%;78.98%的伤人动物无法确定是否接种狂犬疫苗;大中型藏獒、狼犬等占72.49%,100.00%无宠物管理证件。结论十堰市应当切实加强犬只的管理和动物免疫接种。 Objective To analyze the epidemiological distribution of dogs exposed to rabies in urban areas of Shiyan City and the status quo of dog management in order to provide basis for strengthening the management of dogs and controlling rabies. Methods A total of 909 rabies exposure cases were collected for descriptive analysis. Results In 2012, a total of 909 cases of rabies exposure were found in urban areas of Shiyan City. There were visits in all quarters throughout the year, accounting for 56.55% of the admissions in the second and third quarters. Exposure groups covered all age groups and ranged from 20 to 20 years Accounting for 45.76% of the total; the male exposed more than the female, the ratio of male to female was 1.09: 1. The dogs and cats were the main cause of the accident, accounting for 95.16% and 97.79% of the patients with Ⅱ and Ⅲ degrees of exposure. Through retrospective survey, animals were found to be most injured in public places, accounting for 65.89% of the total; domesticated and stray animals accounted for 80.08% and 19.91% respectively; 78.98% of the injured animals were unable to determine if vaccinated rabies vaccines. Large and medium-sized Tibetan mastiffs and dogs 72.49%, 100.00% No pet management documents. Conclusion Shiyan City should earnestly strengthen the management of dogs and animal immunization.