2022年江苏省宿迁市带状疱疹就诊病例临床特点及流行特征分析

Clinical and epidemiological characteristics of herpes zoster patients in Suqian, Jiangsu, 2022

  • 摘要:
    目的 了解2022年江苏省宿迁市一般人群带状疱疹流行特征,为带状疱疹疾病预防策略的制定提供参考依据。
    方法  利用医院信息管理系统,收集宿迁市2022年所有二级及以上综合医院带状疱疹病例的诊疗信息,采用描述性流行病学方法对筛查去重后的数据进行统计分析。
    结果  2022年登记病例4740例,发病率为9.51/万;女性发病率(9.81/万)高于男性(9.21/万)(χ2=24.424,P<0.05);病例年龄分布主要在50~80岁年龄组;1—12月每月均有发病,其中12月就诊发病数最少(254/4740)。 病例主要就诊科室为皮肤科,病例临床诊断类型居前3位的为带状疱疹后遗神经痛(47.22%,2238/4740)、带状疱疹伴有其他并发症(22.38%,1061/4740)和带状疱疹(21.84%,1035/4740)。
    结论  2022年宿迁市带状疱疹发病率相对较低,与性别、年龄因素密切相关,主要临床表现为带状疱疹后遗神经痛,对中老年人群健康危害较大,应根据带状疱疹流行特征,加强监测和分析,做好重点人群健康宣教、疫苗接种等预防控制措施。

     

    Abstract:
    Objective To investigate the epidemiological characteristics of herpes zoster in the general population in Suqian of Jiangsu province in 2022, and provide reference for the formulation of herpes zoster prevention strategies.
    Methods By using the hospital information management system, the diagnosis and treatment information of herpes zoster cases in all the general hospitals at grade II and above in Suqian in 2022 were collected, and the data were statistically analyzed by descriptive epidemiological method.
    Results A total of 4740 herpes zoster cases were registered in 2022, with an incidence of 9.51/10 000.The incidence rate in women (9.81/10 000) was higher than that in men (9.21/10 000)( χ 2=24.424, P <0.05). The cases were mainly distributed in people aged 50–80 years; The cases occurred all the year round and the case count in December was lowest (254/4740). The cases mainly saw doctors in dermatology departments due to illness, and the top three clinically diagnosed types of the cases were postherpetic neuralgia (47.22%, 2238/4740), herpes zoster with other complications (22.38%, 1061/4740) and herpes zoster (21.84%, 1035/4740).
    Conclusion The incidence of herpes zoster was relatively low in Suqian in 2022, and the incidence was closely related to gender and age, the main clinical manifestation of post herpetic neuralgia was postherpetic neuralgia, which is of great harm to the health of middle-aged and elderly people. According to the epidemiological characteristics of herpes zoster, it is necessary to strengthen the disease surveillance, health education and vaccination in key populations.

     

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