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金門縣恙蟲病流行之探討 = A Study of Scrub Typhu...

國立高雄大學高階經營管理碩士在職專班(EMBA)

金門縣恙蟲病流行之探討 = A Study of Scrub Typhus Infection in Kinmen

紀錄類型:	書目-語言資料,印刷品 : 單行本
並列題名:	A Study of Scrub Typhus Infection in Kinmen
作者:	許珊瑋,
其他團體作者:	國立高雄大學
出版地:	[高雄市]
出版者:	撰者;
出版年:	2009[民98]
面頁冊數:	6, 86面圖，表 : 30公分;
標題:	恙蟲病
標題:	Epidemiology
電子資源:	http://handle.ncl.edu.tw/11296/ndltd/77164731315862438256
附註:	參考書目：面81-86
附註:	指導教授：李亭林
摘要註:	本研究主要探討金門旅遊人口增加與恙蟲病個案增加之相關性、鼠隻活動區域與恙蟲病個案的感染分布區域之相關性、金門縣季節變化與恙蟲病增加之相關性、以及了解金門地區恙蟲病流行病學的特徵及人口變項，針對上述分析結果進行專家訪談，對目前金門地區是項疾病防疫相關等防治作為進行建議。本研究結果顯示：1.金門旅遊人口增加與恙蟲病個案增加之相關性，經採直線迴歸分析(linear regression)，結果得知兩者之間沒有顯著相關(r＝0.145,p＝0.69)。另在鼠隻活動區域與恙蟲病個案的感染分布區域之相關性，亦經採直線迴歸分析，結果得知兩者之間無顯著正相關性(r＝0.686,p＝0.201)，再者，金門縣季節變化與恙蟲病增加之相關性部份，同上使用直線迴歸分析，結果得知兩者之間具顯著相關(r＝0.705,p＝0.000)。2.由94年至96年確診個案數據分析得知(1)男性:女性為3:1，(2)男性軍人佔65％，再者以無職業及農夫為主；女性以無職業42.1％居多，(3)年齡層以21-30歲佔46.6％最多，其次為51-60歲12.6％，(4)感染月份以5-7月份為最高峰，次為9-10月為另一高峰，(5)其次影響地區恙蟲病個案多寡，因素尚包含老鼠數量及分布、恙藼數量及帶菌率、環境用藥、衛教宣導等。3.在臨床表徵方面以焦痂(89.91％)及發燒(74.36％)最為顯著，叮咬位置以腹部(23.36％)最多，次為鼠蹊部(19.15％)、腋下(18.22％)為最主要的叮咬部份。針對上述研究結果經專家訪談建議，若要降低金門地區恙蟲病感染人數，可從環保、衛生、醫療等單位及民眾配合度方面進行改善及加強。 The main purpose of this research is to understand the connection of increased numbers of tourist visiting Kinmen and the increase in the number of those infected with Scrub Typhus in Kinmen. This research also addresses the correlation between the mouse population and distribution and the number and location of Scrub Typhus cases found in Kinmen. The final focus of the research is to discuss ways to treat and prevent Scrub Typhus cases in Kinmen. Following are results of the study show: 1.Analyses using linear regression has shown that there is no obvious correlation between the increase in tourist visiting Kinmen and the increase in Scrub Typhus cases (r =0.145,p =0.69). There is no obvious correlation between the distribution of mice and the location of Scrub Typhus cases(r =0.686,p =0.201). Finally it was found that there are noticeable peak seasons for new Scrub Typhus cases to be reported (r =0.705,p =0.000). 2.According to the data analysis from 2005 to 2007 : (1 ) the ratio of infected cases, men: women are 3:1, (2) infected male soldiers are 65%, next are unemployed or farmers respectively. Most infected women are unemployed, say 42.1%, (3) Most of those infected are between the ages of 21-30, say 46.6%, next are between 51-60 years old, say 12.6%. (4) The peak time for infections is between May and July with another spike in September and October. (5) Other factors in the spread of Scrub Typhus are as following: location of mice on the island; the number of Scrub Typhus and the carrier rate of Scrub Typhus; the extent of medicines using in environment; the education of the population on prevention and treatment of the disease. 3.There are some common symptoms that those infected with Scrub Typhus will develop, eschar (89.91% of patients) and fever (74.36% of patients). Most bites occur often on the following areas of the body, belly (23.36%), groin area (19.15%), and the armpit (18.22%). This study based on the experts’ interview shows that reducing the number of Scrub Typhus cases will take work in many areas such as environmental protection, personal hygiene, medical treatment, and the cooperation of the people of Kinmen.

金門縣恙蟲病流行之探討 = A Study of Scrub Typhus Infection in Kinmen
許, 珊瑋

金門縣恙蟲病流行之探討 = A Study of Scrub Typhus Infection in Kinmen / 許珊瑋撰 - [高雄市] : 撰者, 2009[民98]. - 6, 86面 ; 圖，表 ; 30公分.
參考書目：面81-86指導教授：李亭林.
恙蟲病Epidemiology

金門縣恙蟲病流行之探討 = A Study of Scrub Typhus Infection in Kinmen
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