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目的了解张家口市高新区狂犬病暴露的人群现状,为科学防控狂犬病提供依据。方法应用描述流行病学方法对高新区狂犬病处置门诊2011年接诊狂犬病暴露人群2 190例进行分析研究。结果张家口市高新区狂犬病暴露人群2 190例在分布上男性略多于女性,主要集中于青壮年,占47.9%;职业以农民为主,占42.05%;时间分布上夏秋季节较为集中,暴露部位主要为下肢和上肢,以Ⅲ级暴露伤居多。狂犬病暴露后绝大多数人能及时处理伤口,到门诊就医者能坚持全程疫苗接种,注射人抗狂犬病免疫球蛋白的为数不多。结论为减少狂犬病的发生,要大力开展群众健康教育,增强其防范意识,做到暴露后主动到狂犬病处置门诊及时处理伤口、接种疫苗和注射狂犬病免疫球蛋白,同时加强犬只管理,特别是夏秋季节做好犬伤的防范,减少暴露,防止狂犬病的发生。
Objective To understand the current situation of rabies exposure in high-tech zones of Zhangjiakou City, and to provide basis for scientific prevention and control of rabies. Methods Descriptive epidemiological methods were used to analyze 2 190 cases of rabies exposure in 2011 in high-tech zone rabies treatment clinics. Results In the high-tech zone of Zhangjiakou City, 2,190 rabies exposed people were slightly more than female in the distribution, mainly in young adults, accounting for 47.9%; occupation was mainly peasant, accounting for 42.05%; the time distribution was more concentrated in summer and autumn, Mainly for the lower extremities and upper extremities, mostly Ⅲ-level exposure. The vast majority of rabies exposure can be timely treatment of wounds, to the outpatient doctor can insist on full vaccination, human injection of anti-rabies immunoglobulin is one of the few. Conclusion In order to reduce the occurrence of rabies, we should vigorously carry out public health education and enhance their awareness of prevention so that after the exposure, they take the initiative to treat rabies at the outpatient department to timely treat the wounds, vaccinate and inject rabies immunoglobulin, and strengthen the management of dogs, especially in summer and autumn Season to do a good dog prevention, reduce exposure, prevent the occurrence of rabies.