返回 2008年第31卷第3期 目录

527例小儿流行性乙型脑炎的临床流行病学分析

杨 飞，李 春

（巴中市人民医院儿科，四川巴中 635500）

摘 要 目的：探讨流行性乙型脑炎近年来总体发病率、病死率逐年下降的情况下，农村留守儿童发病率、病死率所占比重较高的主要原因及预防措施。方法：回顾性分析我院自2001年到2006年住院治疗的527名乙型脑炎患儿的预防接种史、临床资料、以及患儿的带养关系。结果：小儿流行性乙脑患病的季节性强，总体发病率、死亡率下降，农村留守儿童预防接种差，患病率高，病死率高。结论：加强对农村留守儿童的健康关注，对他们进行有效的预防接种能显著降低儿童患病率和病死率，对他们进行早期隔离、早期治疗等有效治疗措施能降低后遗症的发生率和儿童的病死率。

关键词 乙脑；预防接种；留守儿童

CLINICAL EPIDEMIOLOGICAL ANALYSIS OF 527 CHILDEN

EPIDEMIC ENCEPHALITIS B

Yang Fei,et al

Department of Pediatry,the People's Hospital of Bazhong City

Abstract Objective:To probe into the main cause and prevention of higher and fatality rate of epidemic encephalitis B in rural children whose parents were not at home.Methods:Preventive inoculation history and foster relation of 527 case of childen epidemic encephalitis B from 2001 to 2006 in our hospital were analysed retrospectively.Results:Although the of children epidemic encephelitis B is very seasonal,and the total incidence rate and fatality rate descend,as the preventive inoculation was bad among children without parental care,their incidence and fatelity rate is high.Conclusion: Strengthen concerns over these children's health. Effective preventive inoculation can conspicuously descend the incidence and case fatality rate. Effective early stage therapy can decrease the incidence of sequela and case fatality rate.

Key words Epidemic encephalitis B,Preventive inoculation;Rural children staying at home without parental care