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目的通过对怀柔区2000-2005年9 568例犬咬伤病例分析,总结出犬咬伤规律。方法提取怀柔区预防狂犬病门诊6年全部病例,按年龄、性别、职业、咬伤部位、时间范围、咬伤后注射狂犬疫苗时间进行分类统计。结果男女性别比为1.72∶1,8~14岁青少年犬咬伤人数占19.75%,农民占34.05%,咬伤下肢占43.65%,5~9月份占54.39%,分别居首位。病例在咬伤当天和第1天注射狂犬病疫苗者占97.66%,血清注射率仅占注射狂犬病疫苗者3.73%。结论被犬咬伤最多的是男性、青少年、农民,咬伤部位多为下肢部位。此规律与狂犬病病例发病年龄、性别和职业等相符,病例高峰期为每年5~9月份,与病例的发病季节符合,因此可针对其规律性制定切实可行的预防措施,控制犬咬伤,从而进一步做好狂犬病预防工作。
Objective To analyze the dog bites of 9 568 dogs in Huairou District from 2000 to 2005, and summarize the regularity of dog bites. Methods All cases of rabies outpatient department in Huairou District were collected for 6 years. The age, sex, occupation, site of bite, time range and rabies vaccine time after bite were used for classification and statistics. Results The sex ratio of male to female was 1.72:1. The number of teenage dog bites of 8-14 years old accounted for 19.75%, peasants accounted for 34.05%, bites lower limbs accounted for 43.65%, from May to September accounted for 54.39%, ranking first. The rabies vaccine was injected on the day of bites and on the first day, accounting for 97.66%. The rate of serum injection was only 3.73% of the rabies vaccine injected. Conclusion The most bitten dogs were male, adolescents and peasants. Most of the bites were lower limbs. This law is consistent with the onset age, sex and occupation of rabies cases. The peak period of the cases is from May to September each year, which is in line with the season of onset of the cases. Therefore, practical preventive measures can be formulated according to the regularity so as to control dog bites and thus Further efforts to prevent rabies.