湖州市某院严重急性呼吸道感染病例流行病学特征与危险因素分析

【摘要】目的分析湖州市某医院住院严重急性呼吸感染病例流行病学特征和危险因素，为制定预防控制措施提供科学依据。方法对2009年底-2010年湖州第一人民医院开展的住院严重急性呼吸道感染病例研究资料进行分析，分析流行病学特征和危险因素。结果湖州第一人民医院共报告住院严重急性呼吸道感染病例232例，占所有同期入院病例数的2.46％。发病时间以冬春季为主，发病年龄以0～5岁儿童为主。临床特征以发热、咳嗽、咽痛、呼吸急促等为主，84.91％的病例并发肺炎。运用二分类logistic回归分析建立重症病例危险因素回归模型，体重指数、是否有心血管疾病病史、气短和呼吸急促等均有统计学意义，为发生住院严重急性呼吸道感染的危险因素。结论湖州第一人民医院市住院严重急性呼吸道感染主要发生在儿童，冬春季高分，多数发生下呼吸道感染。危险因素为体重超心血管疾病病史等。

【关键词】呼吸道感染；流行病学；危险因素

中图分类号：R183.4文献标识码：A

Epidemiological characteristics and risk factors incases of severe acute respiratory in ahospital of Huzhou City

Yao Wen-ting, Liu Xiao-qi, Ming Zi-qiang, Xu De-shun, Liu Guang-tao, Hu Ju-mei, Dong Xu

【Abstract】Objective:To provide scientific evidence for making strategies and measures fordisease prevention and control, we analyzed the epidemiological characteristics and risk factors of hospitalized cases of severe acute respiratory(SARI) in a hospital of Huzhou City. Method We analyzed the data of SARI cases collected from the First People’s Hospital of Huzhou between 2009 and 2010. Results The First People’s Hospital of Huzhou reported 232 SARI cases, which accounted for 2.46% of all cases admitted to hospital in the same period. The crest-time waswinter and spring, and the peak age was0-5 years old children. Most of theclinical symptoms in the cases werefever, cough, angina, shortness of breath and so on,and 84.91% SARI cases were accompanied by pneumonia. With the binary logistic regression analysis, we established a regression model about the risk factors on the cases. Finally, body mass index, a history of cardiovascular disease and shortness of breath entered the regression model. They were the risk factors of the SARI cases. Conclusion SARI cases occur mainly in children in Huzhou, the crest-time beingwinter and spring, and most of the cases are accompanied by lower respiratory infection. The risk factors are body mass index, a history of cardiovascular disease, and so on.

【Key words】respiratory infection; epidemiology; risk factors

上海市地下公共空间环境氡浓度调查

吕文亭，朱浩，郦胜，吕志江，张小会，赵静静（上海申丰地质新技术应用研究所有限公司，上海201107）

摘要：目的选择典型地铁站站台、地下商城（商业街）和地下停车库，对氡浓度现状进行调查与评价，为地下公共空间环境的管理提供科学依据。方法地下场所空气氡浓度测定采用电子测氡仪（RAD-7）测定空气中的222Rn浓度来实施。结果①4个检测地铁站站台中，上海新客站站台的氡浓度水平较低，中山公园站其次，人民广场站和宜山路站较高；②4个检测点中，上海新客站和科技馆站地下商城/商业街的氡浓度水平较低，人民广场站和徐家汇站次之；③上海新客站和上海虹桥站地下停车库的氡浓度较低，而上海浦东国际机场地下同车库次之，二者相差达6倍～10倍。结论同一类型地下场所空气氡浓度对比表明，三城市中，上海地下场所/商业街空气氡浓度最低；4城市中，上海地铁站站台空气氡浓度居中；上海地下停车库空气氡浓度低于我国部分城市均值。不同类型地下场所空气氡浓度对比表明，上海地下停车库低于地下商城/商业街，地下商城/商业街低于地铁站站台；上海地下场所空气空气氡浓度水平高于地面建筑物室内，远低于全国地下室，低于国家职业卫生控制标准。

关键词：地下公共空间；环境；氡浓度

Radon concentrations in underground public space environment in Shanghai City Lv Wen-tingZhu Hao,Li Sheng,Lv Zhi-jiang,Zhang Xiao-hui,Zhao Jing-jing

（Shanghai Shenfeng Institute of Novel Geological Techniques CO,China,Ltd,shanghai 201107,China）

Abstract: Objective To survey and evaluate the concentration of radon in typical subway station platforms, underground malls(shopping streets) and underground garages and then make a scientific conclusion for the environmental management of underground public spaces. Method Radon in underground spaces which measured as 222Rn was tested by electronic radon monitor (RAD-7). Results ① Among the 4 detected subway station platforms, Shanghai Railway Station showed a low concentration of radon ,Zhongshan Park Station was next in that, and , People's Square Station and Yishan Road Station werehigher in that ; ② Among the 4 detected underground malls, the Shanghai Railway Station and Science & Technology Museum Station underground mall / shopping street hada low level of radon concentration,the People's Square station and Xujiahui station were next; ③Radon concentration of underground parking garages in Shanghai Pudong International Airport was6~10 times higher than that of Shanghai Railway station and Shanghai Hongqiao Railway station. Conclusions Data fromsimilar underground public spaces in three compared cities showed that, the underground malls / shopping streets of Shanghai presented the minimum radon concentration. Radon concentrations of Shanghai subway station platforms gave a medium result in the four compared cities, and results fromunderground parking garages in Shanghai were below the average of some cities. Data fromunderground public spaces of the different type showed that, radon concentration in underground parking garage was below that of underground mall / shopping street which were also lower than that of subway station platform. Radon in the air of the underground place was beyond the testing results of indoor ground constructions but much lower thanthat in the basement of the country and the national occupational health limits.

Keywords: Underground public space; Environment; Radon concentration

温州市2010年居民伤害死亡原因分析

钱合笑 （浙江省温州市疾病预防控制中心，浙江 温州325001

【摘要】目的 探讨温州市居民伤害死亡分布特点，开展伤害预防提供科学依据方法资料来源于温州市卫生监测区死亡报告据，以ICD-10进行死因分类。结果2010年温州市伤害死亡率为46.30/10万，校正死亡率37.51/10万，在减寿顺位中居于第2位。伤害死亡的前4位死因依次为意外跌落、机动车交通事故、自杀、淹死，占全部伤害死亡的72.81%。结论 伤害是温州市居民的主要死因之一，意外跌落、机动车交通事故、自杀是温州市城乡居民意外伤害死亡的主要原因。根据意外伤害死亡的流行特征(年龄、性别等)，采取相应的策略和措施开展伤害防制工作。

【关键词】伤害； 死亡率；潜在寿命损失年数( PYLL)；

Causes of death due to injury in residents in 2010 in Wenzhou City

Qian He–xiao. (Wenzhou Municipal Center for Disease Control and Prevention,Wenzhou 325001, Zhejiang, P. R. China)

Abstract ObjectiveTo analyze the status o finjury in urban residents of Wenzhou City and provide a scientific basis forprevention and interventionofinjury. MethodsThe death cases of 2010 in wenzhou city were codedwith the International Classification of Death Tenth Revision ( ICD - 10). ResultsThe crude mortality rate ofinjury was for 46.30 /100 000 and the SMR ( standardized mortality ratio )37.51 /100 000. The firstfour causes ofinjury death were vehicle accident, accidental falling, suicide and drowning, accounting for 72.81% of all the injury death. ConclusionThe main causes for accidental death o f the residents in Wenzhou City were vehicle accident, accidental falling and suicide. It is necessary to adopt effective measures foraccidental injury prevention.

Key words: the injury; death rate; PYLL;

上海市闸北区2006-200年中小学生伤害流行病学特征分析

王向东1，熊建菁1，顾峥奕1，万秋萍1，陈聿华1

摘要：目的 掌握闸北区中小学生伤害发生流行病学特征及其影响因素，探索闸北区中小学生伤害发生状况，为政府和相关部门出台行之有效的中小学生伤害干预应对策略和措施，降低学生伤害发生率及伤害死亡率提供科学依据。方法闸北区2006-200年期间全部中小学生伤害个案信息，记录“学生伤害个案卡”并对其内容调查登记核实，分析伤害发生的原因、类型和特征。结果 2006-200年监测伤害患者共计95例，男、女性别比为2.87:1，其中初中学生为最多占59%，其次小学生为41%,高中学生为30%。中小学生伤害主要类型为跌倒528例（55.23%），碰撞/挤压伤268例（28.03%）。伤害发生性质中以骨折较多占55.71%，中学生发生以脱位∕扭伤∕拉伤的情况较小学生多。伤害事故发生较多时段分布为：以课（午）间休息发生为最高300例（31.38%），其次上课时发生为263例（27.51%），节假日发生为132例（13.81%），放学后发生为130例（13.60%）。伤害部位好发于肩/上肢 420例（44.03%），髋/下肢298例（31.24%）,头面部189例（19.81%）。结论 中小学生面临着伤害的严峻挑战，应根据中小学生伤害发生特点，采取针对性干预措施，保护学生健康。

【关键词】中小学生；伤害；监测；流行病学

Epidemiological characteristics of injury in primary and secondary students from 2006 to 2009 school year in Zhabei District, Shanghai

WANG Xiang-dong，XIONG Jian-jin,, Gu Zheng-yi,WAN Qiu-ping, CHEN yu-hua,

（Zhabei Center for Disease Control and Prevention , Shanghai ,China 20072）

Abstract [Objective] There were 956 cases ofinjuries amongprimary and secondary students in2006-2009 and the gender ratio was 2.87:1(boys vs girls).Injuries in junior middle school (48.95%)were the most of all and theyalso happened in primary school (36.19%) and Senior high school(14.85%).To acquire epidemiological characteristics of injury and its influence factors amongprimary and secondary students in Zhabei District of shanghai, and to explore its occurrence status , thus providing effective tragedy and countermeasure forinjury intervening for government.[Methods]Students' Injury Case Cards” from 2006 to 2009 school yearwere collected fromprimaryand secondary students ,andthen the reasons,types and characteristics of the injuries were investigated, confirmed, registered and analysed. [Results]It was found that the main type of injury was reported as follows: 528 cases offalling down(55.23%)and 268 cases ofcrash/extrusion（28.03%）. It was also found that the maininjury was fracture(55.71%). The amount of dislocation/sprain/pulling in middle school wasmore thanin primary school. Further analysis showed that injury often happened in breaks between classes (31.38%), in the middle of classes(27.51%), during festival and holiday(13.81%) and at times after-school(13.60%) . On the other hand injury usually occurred on shoulder (44.03%),hip(31.24%)and head(19.81%).[Conclusion] The analysis presentsan austerity picture of injury among primary and secondarystudents, indicating thatinterfering measure should be implemented according to the characteristics of injury occurring in schools.

[Keywords] primary and middle school students; injury; monitor ;epidemiology

烦将下列文题译成英文

Epidemiological characteristics and risk factors in cases of severe acute respiratory in a hospital of Huzhou City

…………………………………………………………………Yao Wen-ting, Liu Xiao-qi, Ming Zi-qiang, et al()

Radon concentrations in underground public space environment in Shanghai City

……………………………………………………………………………Lv Wen-ting,Zhu Hao,Li Sheng,Lv, et al()

Causes of death due to injury in residents in 2010 in Wenzhou City

………………………………………………………………………………………………………………….Qian He–xiao（）

Hepatitis B infection status in close contacts of hep B – affected families

…………………………………………………………………….MAO Yu-ming, YUAN Jia-ling, LU Lu, et al ()

Epidemiological analysis on 172 cases of children’s viral encephalitis

……………………………………………………….FANG Chun-fu, DENG Xiao-yan, ZHAN Bing-dong, et al ()

Monitoring and analysis on water and environmental vibrio cholerae in Hongkou District of Shanghai

…………………………………………………………………..ZHANG Jing, CHEN Zhen, TANG Yi-ling, et al()

Culture for air pathogens in burn ward and prevention of nosocomial infection

…………………………………………………………………..ZHANG Chun, DAI Jin-hua, FAN You-fen, et al()

Pathogens and drug-resistance testing for umbilibal discharge from 92 cases of newborn omphalitis

…………………………………………………………………SHEN An-ying, QUAN Cai-qi, ZHANG Jian-hua()

Epidemiological characteristics of injury in primary and secondary students from 2006 to 2009 school year in Zhabei District, Shanghai……………………………. WANG Xiang-dong，XIONG Jian-jin,, Gu Zheng-yi, et al()

Home environment and parenting impact on infant obesity

………………………………………………………………….WU Tian-ying, PU Zheng, ZHAI Xiao-wei, et al()