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中文摘要: 摘 要：目的：了解邹城市钢山街道因动物致伤人群特征以及狂犬病疫苗、狂犬病免疫球蛋白接种情况，为预防和控制 狂犬病提供科学依据。方法：整理 2021年钢山街道居民因动物致伤者在当地犬伤门诊就诊的基本情况，采用χ2 检验和二元 logistic回归分析探讨因动物致伤者狂犬病疫苗全程接种率的影响因素。结果：2021年钢山街道居民因动物致伤就诊并接种狂 犬病疫苗者1 258例，其中，女性较多，共677例，占53.82%；年龄以0~14岁者为主，共452例，占35.93%；职业以学生为 主，共448例，占35.61%。1 258例就诊者中，全程接种狂犬病疫苗者1 153例，占91.65%；Ⅲ级暴露者982例，占78.06%， 其中，接种狂犬病免疫球蛋白者797例，占81.16%。致伤部位以上肢为主，共854例，占67.89%；致伤动物以家养犬为主， 共665例，占52.86%；致伤场所以户内为主，为1 173例，占93.24%。二元logistic回归分析结果显示，与农民相比，散居儿 童、学生、公务员、工人是狂犬病疫苗全程接种率的保护因素；与暴露分级Ⅱ级相比，暴露分级Ⅱ级是狂犬病疫苗全程接种 率的保护因素。结论：职业、暴露程度是影响狂犬病疫苗全程接种率的重要因素，应对不同职业、暴露分级人群开展狂犬病 防治知识个体化健康教育，提高狂犬病防治知识的普及率，同时强化犬只管理，提高豢养犬只人员安全意识。
Abstract:Abstract: OBJECTIVE To analyze the characteristics of the population injured by animals in Gangshan street of Zoucheng, as well as the rabies vaccine and rabies immunoglobulin vaccination, in order to provide scientific basis for the prevention and control of rabies. METHODS To sort out the basic situation of residents who were injured by animal and in Gangshan street and visited the local dog injury clinics in 2021. Chi-square and binary logistic regression were used to analyze the influencing factors of the whole course vaccination rate of animal injured people. RESULTS In 2021, there were 1 258 cases of residents in Gangshan street seeking medical treatment and receiving rabies vaccine due to animal injuries. Among them, there were more women, with a total of 677 cas⁃ es, accounting for 53.82%. Among different age groups, 0~14 years old was the main age group ,with a total of 452 cases, accounting for 35.93% . Among different professions, Students were the main profession, with a total of 448 cases, accounting for 35.61% . Among the 1258 cases, 1 153 cases were vaccinated against rabies throughout the entire process, accounting for 91.65%. There were 982 cases of Grade III exposure, accounting for 78.06%, among them, 797 cases were vaccinated with rabies immunoglobulin, ac⁃ counting for 81.16%. Among different injury sites, the upper limb had the highest number of injuries, with 854 cases accounting for 67.89%. The main injurious animals were domestic dogs, with a total of 665 cases, accounting for 52.86%. Among different injury sites, the injury site is mainly indoor, with 1 173 cases, accounting for 93.24% . The results of binary logistic regression analysis showed that compared with furmer, scattered children, students, civil servants and workers are protective factors for the overall rabies vaccine coverage rate. ompared with. exposure level II, exposure level Ⅲ is risk factors for the overall rabies vaccine coverage rate. CONCLUSION Occupation and exposure level are important factors that affect the overall vaccination rate of rabies vaccines. Individ⁃ ualized health education on rabies prevention and control knowledge should be carried out among individuals with different occupa⁃ tions and exposure levels to improve the popularity of rabies prevention and control knowledge. At the same time, dog management should be strengthened and safety awareness of dog owners should be raised.
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