症状监测在汶川地震救援部队中的应用
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摘要
目的探索症状监测在地震救援部队中及早发现和控制重要传染病和其他疾病流行的作用。方法2008-05-15/06-14以某部参加救灾全体人员为监测对象,确立发热、腹泻、咽痛、皮疹、皮肤外伤、眼结膜红肿等6种症状为监测指标。结果共监测2726人,在31d监测期内,6种症状的罹患率分别为1.28%～16.62%,皮疹和外伤在救援初期分别有1个发病高峰,发热在第3周有1个发病高峰。荨麻疹、湿疹、急性上呼吸道感染、急性扁桃体炎、外伤等为主要疾病。结论在地震救援部队执行任务期间进行症状监测是可行的,监测的6种主要症状代表性强,可起到预警作用。
Objective To discover and control major infectious diseases and other diseases as soon as possible and to explore active disease surveillance model in emergency rescue troops.Methods The surveillance was carried out in a Wenchuan Earthquake emergency rescue troop from May 15 to Jun 14,2008.The surveillance indexes included fever,diarrhoea,trauma,rash,pharyngeal pain,conjunctival hyperemia and chemosis.Results Attack rates of symptoms in a population of 2726 soldiers differed from 1.28%-16.62%.The attack peaks of rash and trauma occurred in first week,and fever in third week.The majors diseases occurred during surveillance were respectively urticaria,eczema,acute upper respiratory tract infection,acute tonsillitis,and trauma.Conclusions The syndromic surveillance in Wenchuan Earthquake emergency rescue troops was feasible,6 kinds of symptoms have representative and can play roles of early-warning.
Objective To discover and control major infectious diseases and other diseases as soon as possible and to explore active disease surveillance model in emergency rescue troops.Methods The surveillance was carried out in a Wenchuan Earthquake emergency rescue troop from May 15 to Jun 14,2008.The surveillance indexes included fever,diarrhoea,trauma,rash,pharyngeal pain,conjunctival hyperemia and chemosis.Results Attack rates of symptoms in a population of 2726 soldiers differed from 1.28%-16.62%.The attack peaks of rash and trauma occurred in first week,and fever in third week.The majors diseases occurred during surveillance were respectively urticaria,eczema,acute upper respiratory tract infection,acute tonsillitis,and trauma.Conclusions The syndromic surveillance in Wenchuan Earthquake emergency rescue troops was feasible,6 kinds of symptoms have representative and can play roles of early-warning.
引文
[1]祖荣强,冯子健.症状监测应用实践[J].疾病监测,2007,22(1):1-3.
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[4]王艳梅,速丽媛,彭中,等.2001-2007年成都急性驰缓性麻痹病例流行病学分析与监测系统评价[J].预防医学情报杂志,2008,24(9):694-697.
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[7]Mandl KD,Overhage JM,Wagner MM,et al.Implementing syndrom-ic surveillance:a practical guide informed by the early experience[J].J Am Med Inform Assoc,2004,11(2):141-150.
[8]陈聪,王亚龙,姚杏娟,等.常州市传染病症状监测系统应用的初步分析[J].上海预防医学,2007,19(11):577-578.
[9]庹晓莉,刘杨.发热症状监测系统及其评价方法[J].现代预防医学,2007,34(4):745-746.
[2]冯子健,祖荣强.症状监测发展方向与问题思考[J].疾病监测,2007,22(2)):73-75.
[3]任赟静,黄建始,马少俊,等.症状监测及其在应对突发公共卫生事件中的作用[J].中华预防医学杂志,2005,39(1):56-58.
[4]王艳梅,速丽媛,彭中,等.2001-2007年成都急性驰缓性麻痹病例流行病学分析与监测系统评价[J].预防医学情报杂志,2008,24(9):694-697.
[5]卫生部.传染性非典型肺炎早期预警症状监测方案(试行)[S].2003.
[6]严薇荣,魏晟,张惠娟,等.试论开展突发公共卫生事件症状监测的必要性和困难[J].疾病控制杂志,2007,11(1):79-80.
[7]Mandl KD,Overhage JM,Wagner MM,et al.Implementing syndrom-ic surveillance:a practical guide informed by the early experience[J].J Am Med Inform Assoc,2004,11(2):141-150.
[8]陈聪,王亚龙,姚杏娟,等.常州市传染病症状监测系统应用的初步分析[J].上海预防医学,2007,19(11):577-578.
[9]庹晓莉,刘杨.发热症状监测系统及其评价方法[J].现代预防医学,2007,34(4):745-746.
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