目的分析四川省狂犬病监测点暴露人群流行病学状况,为狂犬病相关防治提供有效的依据。方法选取2005-2009年四川省狂犬病高发的6个县为监测点,要求每个监测点选择1个县级疾病控制中心和2个乡镇卫生院的犬伤门诊对犬/猫伤处置及相关情况进行登记。对其中3个监测点采集的258份犬标本使用免疫荧光法进行犬只带毒检测。使用Epidata3.02建立数据库,Excel2007统计分析。结果 2010年6个监测点共登记4 835例暴露者,男女比例为1.05∶1;15岁以下儿童暴露占32.60%;6～9月暴露占全年的45.93%;上下肢暴露占66.39%;Ⅲ级暴露占55.56%。暴露者注射疫苗率为98.87%,Ⅲ级暴露注射免疫球蛋白为23.49%。结论 6个监测点犬伤门诊就诊数男女几乎相等,低年龄组暴露为主,夏秋季暴露居多,暴露部位主要为上下肢,犬伤者暴露后使用狂犬免疫球蛋白意识不强。尚需加强农村地区乡镇卫生院犬伤处置培训;加强对农民狂犬病预防知识及伤口处置等预防知识的宣传。 Objective To analyze the Sichuan Province of rabies exposure monitoring sites epidemiological situation, provide the basis for effective prevention and control of rabies-related. Methods From 2005 to 2009, six counties with high incidence of rabies in Sichuan Province were selected as monitoring points. One monitoring center was selected at each monitoring site and two dogs and cats were treated at county clinics. Register. 258 canine samples collected from 3 monitoring points were detected by immunofluorescence in dogs. Use Epidata3.02 to establish the database, Excel2007 statistical analysis. Results A total of 4 835 exposed individuals were enrolled at 6 monitoring sites in 2010 with a ratio of 1.05: 1. Children under 15 years of age accounted for 32.60%. Exposures from June to September accounted for 45.93% of the whole year. Extremity and extremity exposures accounted for 66.39% Ⅲ grade exposure accounted for 55.56%. The vaccination rate of exposed persons was 98.87%, and that of grade Ⅲ exposed immunoglobulins was 23.49%. Conclusions The number of outpatient canine visits in the six monitoring points is almost equal, with the lowest age group being exposed mainly in summer and autumn. The exposed parts are mostly upper limbs and lower limbs, and the dogs with canine wounded are not well aware of rabies immunoglobulin after exposure. Township hospitals in rural areas need to be strengthened hurt disposal Dog training; strengthen the publicity of farmers rabies prevention knowledge and knowledge of wounds disposal.