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目的通过分析江苏省常州市发热呼吸道及发热肺炎病例监测情况,为合理控制呼吸道类传染病提供依据。方法收集2010-2011年常州市发热及发热肺炎监测数据和南方省份同时期数据,分析流行趋势,掌握流行规律。结果 2010-2011年常州市监测医院共发现发热呼吸道患者45 635例,占门急诊就诊总数的2.18%,发热肺炎病例7281例,占发热病例的15.95%;2010年发热肺炎病例占发热病例的比例高于2011年水平(F=13.225,P<0.05);2010年和2011年发热比例和肺炎比例呈正相关性(r=0.251,P<0.05);2010年和2011年常州市在发热呼吸道病例占门急诊就诊比例低于南方省份同期水平,差异有统计学意义(t=8.937,P<0.05;t=10.655,P<0.05)。结论发热及发热肺炎监测是一项长期、连续的监测工作,应与流感监测和突发公共卫生监测等系统紧密结合,形成一个全面的监测网络。
Objective To analyze the surveillance of fever, respiratory and pynecologic pneumonia cases in Changzhou City, Jiangsu Province, and provide the basis for the reasonable control of respiratory tract infectious diseases. Methods The surveillance data of fever and fever pneumonia in Changzhou from 2010 to 2011 and the data of the same period in southern provinces were collected to analyze the epidemic trend and to grasp the epidemic law. Results A total of 45 635 cases of fever respiratory tract were found in Changzhou Municipal Monitoring Hospital from 2010 to 2011, accounting for 2.18% of the total number of outpatient and emergency department visits. The number of fever pneumonia cases was 7281, accounting for 15.95% of the total fever cases. The proportion of fever cases in 2010 (F = 13.225, P <0.05). There was a positive correlation between the proportion of fever and pneumonia in 2010 and 2011 (r = 0.251, P <0.05). In 2010 and 2011, the proportion of fever in respiratory tract in Changzhou The proportion of outpatient and emergency department visits was lower than the same period in the southern provinces (t = 8.937, P <0.05; t = 10.655, P <0.05). Conclusion The monitoring of fever and fever pneumonia is a long-term and continuous monitoring work. It should be closely integrated with influenza surveillance and public health emergency monitoring system to form a comprehensive monitoring network.