王承敏, 方春福, 王炜, 王海燕. 衢州市柯城区360例无菌性脑炎患者的流行病学分[J]. 疾病监测, 2007, 22(3): 172-174. DOI: 10.3784/j.issn.1003-9961.2007.3.172
引用本文: 王承敏, 方春福, 王炜, 王海燕. 衢州市柯城区360例无菌性脑炎患者的流行病学分[J]. 疾病监测, 2007, 22(3): 172-174. DOI: 10.3784/j.issn.1003-9961.2007.3.172
WANG Cheng-min, FANG Chun-fu, WANG Wei, WANG Hai-yan. An epidemiological analysis on 360 cases of non-bacterial meningitis in Kecheng District of Quzhou City[J]. Disease Surveillance, 2007, 22(3): 172-174. DOI: 10.3784/j.issn.1003-9961.2007.3.172
Citation: WANG Cheng-min, FANG Chun-fu, WANG Wei, WANG Hai-yan. An epidemiological analysis on 360 cases of non-bacterial meningitis in Kecheng District of Quzhou City[J]. Disease Surveillance, 2007, 22(3): 172-174. DOI: 10.3784/j.issn.1003-9961.2007.3.172

衢州市柯城区360例无菌性脑炎患者的流行病学分

An epidemiological analysis on 360 cases of non-bacterial meningitis in Kecheng District of Quzhou City

  • 摘要: 目的 通过对360例无菌性脑炎患者的流行病学调查,了解衢州市柯城区无菌性脑炎流行病学动态并为其诊断及监测提供参考依据.方法 收集2005年1月1日至2005年12月31日衢州市某综合性医院临床诊断为无菌性脑炎的病例360例,采用描述性流行病学分析方法分析其流行病学概况;同时采集部分病例的脑脊液进行肠道病毒的分离.结果 360例病例中以柯城区为主,5~7月份为发病高峰,发病人群主要集中于15岁以下的青少年,男女比例为1.63:1;对40例无菌性脑炎住院病例的脑脊液标本进行病毒分离,其中2份分离出肠道病毒,阳性率为5%;所有病例的平均住院天数为5.7d,且预后良好.结论 无菌性脑炎好发于青少年及幼儿,并有明显的季节性,大多数无菌性脑炎目前尚无明确的病原学诊断,应进一步加强肠道病毒引起的无菌性脑炎的监测工作.

     

    Abstract: Objective The present analysis was made to gain an insight into the epidemiological characteristics of 360 cases of non-bacterial meningitis in order to provide evidences for understanding the epidemiological trends of non-bacterial meningitis in Quzhou City and the surveillance for the disease. Methods 360 cases of non-bacterial meningitis were selected from January 1 to December 31, 2005 in a general hospital in Quzhou City. The epidemiological characteristics of the cases were analyzed using a descriptive method. The cerebrospindal fluids of some cases were collected for culture of the virus. Results Most of the cases were in Ke-Cheng district, the peak time of incidence was from May to July, and most of the patients were children under 15 years, the sex ratio of male to female was 1.63∶1. 2 cases of intestinal virus were isolated from 40 cerebrospindal fluid specimens,and isolation rate was 5%; the average duration in hospital was 5.7 days, with a good prognosis. Conclusion The non-bacterial meningitis often attacks young children and indicates an obvious seasonal peak, most of which have no definitive antigen diagnosis, so we should further strengthen the surveillance of the diseases.

     

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