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周口市2022-2023年流感样病例监测结果分析

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目的 对周口市2022-2023年流感样病例(influenza-like cases,ILI)进行监测,了解该地区的流感的流行病学特征。方法 采用描述流行病学方法统计分析2022-2023年周口市中心医院、项城市第一人民医院流感监测哨点医院收治的ILI的资料和检测结果。结果 周口市2022-2023年期间共检测3 571例流感样病例样本,ILI阳性率分别为26。52%(349/1 316)和23。99%(541/2 255),2022年的流行毒株型别主要为乙型流感(BV,59。89%)和季节性流感甲型H3(40。11%);2023年的流行毒株型别为季H3(44。18%)、新型甲型 H1N1(42。14%)、BV(13。12%)和混合型(0。58%)。男患者 ILI 阳性率(27。61%)高于女患者(21。78%),有统计学差异(x2=16。116,P<0。001)。男女之间不同亚型构成差异无统计学意义(x2=1。746,P=0。627)。2022年和2023年0~<5岁组人群阳性率最高(32。41%、41。72%),其次为5~<15岁组(8。89%、15。01%),≥60岁和15~<25岁组的阳性率最低。两年合计,不同年龄组间的阳性率差异对比,有统计学意义(x2=7。862,P=0。049)。ILI以项城市(36。01%)最高,其次为川汇区(25。15%)、淮阳区(24。44%)和郸城县(20。44%),鹿邑县的ILI最低(14。04%)。各地区的年均ILI对比,差异有统计学意义(x2=1032。29,P=0。015)。ILI阳性率具有显著的季节性特点,其中春(1月:67。34%;2月:52。28%;3月:43。20%)、冬季(10 月:8。23%;11 月:32。81%;12 月:57。32%)高于夏(4 月:30。05%,5 月:25。31%;6 月:13。49%)、秋季(7月:2。38%;8月:9。42%;9月:11。29%),尤其是10月至2月期间,呈现明显的升高趋势。结论 周口市的1LI在西华县和淮阳区较高,冬春季是高发季节,高危人群以年龄<15岁的人群为主,应进一步加强流感病毒的监测工作,便于及时制定相应的预防措施。
Analysis of influenza detection results in Zhoukou City from 2022 to 2023
Objective To monitor the influenza-like cases(ILI)in Zhoukou City from 2022 to 2023,and to understand the epidemiological characteristics of influenza in this area.Methods Descriptive epidemiological methods were used to statistically analyze the data and test results of ILI admitted to Zhoukou Central Hospital and Xiangcheng First People's Hospital from 2022 to 2023.Results During 2022-2023,3 571 samples of influenza-like cases were detected in Zhouk-ou City,and the positive rates of ILI were 26.52%(349/1 316)and 23.99%(541/2 255)respectively.In 2022,the main epidemic strains were influenza B(BV,59.89%)and seasonal influenza H3 virus(40.11%).The epidemic strains in 2023 were influenza H3 virus(44.18%),novel influenza A(42.14%),BV(13.12%)and mixed type(0.58%).The positive rate of ILI in male patients(27.61%)was higher than that in female patients(21.78%),and there was a statisti-cal difference(x2=16.116,P<0.001).There was no significant difference in the composition of different subtypes be-tween men and women(x2=1.746,P=0.627).In 2022 and 2023,the positive rate of 0-<5 group was the highest(32.41%,41.72%),followed by 5-<15 years old group(8.89%,15.01%),and the positive rate of ≥60 years old and 15-<25 years old group was the lowest.In two years,the difference of positive rate among different age groups was statistically significant(x2=7.862,P=0.049).ILI was the highest in Xiangcheng(36.01%),followed by Chuanhui District(25.15%),Huaiyang District(24.44%)and dancheng City(20.44%),and the lowest in Luyi County(14.04%).Compared with the average annual ILI in different regions,the difference was statistically significant(x2=1032.29,P=0.015).The positive rate of ILI has obvious seasonal characteristics,including spring(January:67.34%;February:52.28%;March:43.20%),winter(October:8.23%;November:32.81%;December:57.32%)was higher than summer(April:30.05%,May:25.31%;June:13.49%),autumn(July:2.38%;August:9.42%;September:11.29%),especially from October to February,showed an obvious upward trend.Conclusion ILI in Zhoukou City has a high incidence in Xihua County and Huaiyang District,with winter and spring being its peak seasons,and the high-risk groups are dominated by those aged<15 years,and the surveillance of influenza viruses should be further strengthened in order to facilitate the development of timely and appropriate preventive measures.

ZhoukouInfluenzaTest resultsEpidemiological characteristics

景晓敏

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周口市疾病预防控制中心检验科,河南周口 466000

周口市 流行性感冒 检测结果 流行病学特征

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(14)