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目的 :评价河北省某恙虫病自然疫源地预防措施效果。方法 :在疫源地采取防鼠、灭鼠、卫生宣教、医生培训、预防投药等综合性措施 ,评价其效果。结果 :灭鼠后鼠密度明显降低 ,人群恙虫病知识知晓率为90 .18%,临床诊断正确率由零上升到 92 .30 %,合并症发生率由 10 .5 %下降为零 ,人均医疗费用下降 90 %以上 ,人群恙虫病发病率逐年下降。结论 :采取以灭鼠为主的综合性预防措施 ,效果明显。
Objective: To evaluate the effect of preventive measures against natural tsutsugamushi disease in Hebei Province. Methods: In the foci of anti-rat, rodent control, health missionary education, doctor training, prevention and treatment and other comprehensive measures to assess its effectiveness. Results: The densities of rodent rats were significantly decreased, the awareness of tsutsugamushi disease was 90.18%, the correct rate of clinical diagnosis rose from 0 to 92.30%, the incidence of comorbidity decreased from 10.5% to 0% Fees dropped by more than 90%, the incidence of tsutsugamushi disease declined year by year. Conclusion: Adopting a comprehensive preventive measure based on deratization is effective.