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class="headerBottomLook"><span>瀏覽次數：</span><b>18</b></p></div><div id="3d3bh11" class="newsIndex_seo_content has_imgs" ><div><img class="zhanwei"/><div id="1lhtf1x" class="style_reset self_style"><p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">一、當前流感流行情況如何？后續流行趨勢將如何發(fā)展？</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">我國流感監測結果提示，2018年第1周（1月1－7日），全國南方省份哨點(diǎn)醫院報告的流感樣病例占門(mén)急診病例總數百分比（ILI％）為6．0％，高于2015－2017年同期水平（3．0％、3．2％、3．3％）；流感病毒檢測陽(yáng)性率為41．0％，高于2015－2017年同期水平（13．2％，15．8％，20．2％）。北方省份哨點(diǎn)醫院報告的ILI％為5．8％，高于2015－2017年同期水平（4．1％，2．9％，3．8％）；流感病毒檢測陽(yáng)性率為48．5％，高于2015－2017年同期水平（32．2％，17．5％，26．5％）。綜上，我國流感監測哨點(diǎn)醫院報告的門(mén)急診流感樣病例比例和流感病毒檢測陽(yáng)性率均高于過(guò)去3年同期水平，全國報告的流感暴發(fā)起數也顯著(zhù)高于往年同期；流感確診住院與重癥病例數也有所上升。</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">總體上，今年冬季流行季流感活動(dòng)強度高于近幾年。當前，我國南北方省份均處于季節性流感的流行高峰，流感活動(dòng)的總體水平仍維持在較高水平，且仍可能會(huì )繼續流行一段時(shí)間。大多數地區仍處于流感流行高發(fā)季節，但各地區流行高峰和流行持續時(shí)間存在差異，部分地區已呈現流行水平上升趨勢減緩的跡象。預計多數地區隨著(zhù)學(xué)校和托幼機構放寒假，季節性高峰將出現回落。</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">二、流感的嚴重程度如何？今年流感病毒是否存在傳播力、疾病嚴重性和耐藥性的變異？</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">流感是常見(jiàn)的季節性傳染病，絕大多數為輕癥，重癥和死亡的病例較少，季節性流感一般的病死率大概為0．01％。根據世界衛生組織估計，全球每年流感的季節性流行可導致約29萬(wàn)至65萬(wàn)死亡，我國每年同樣也有流感感染導致的死亡病例。今年由于流感感染和發(fā)病人數較往年多，相應導致出現流感相關(guān)住院、重癥和死亡的情況也會(huì )有所增加。</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">今年我國整體的流感流行水平明顯高于往年，是近幾年來(lái)流感流行最為嚴重的一次。但我國流感病毒監測結果顯示，今年流行的流感病毒未發(fā)現影響流感病毒傳播力、疾病嚴重性和耐藥性的變異。</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">三、公眾應如何正確、科學(xué)預防治療流感？哪種疫苗和藥物能有效預防治療流感？</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">接種流感疫苗是預防流感最有效的手段，可以顯著(zhù)降低接種者罹患流感和發(fā)生嚴重并發(fā)癥的風(fēng)險。流感病毒易于變異，世界衛生組織（WHO）每年都基于對下一個(gè)流行季節流感病毒流行株的預測結果提出全球流感疫苗株的推薦意見(jiàn)，全球各國的疫苗企業(yè)根據WHO的預測結果生產(chǎn)當年的流感疫苗，因此不同年度流感疫苗針對的流感病毒株可能會(huì )有所差異。在大多數年份，流感疫苗與流感流行毒株的匹配較好，具有良好的保護力。今年冬季，我國許多地區流感流行的優(yōu)勢病毒為乙型流感的Yamagata系，但今年采用的流感疫苗未包含這一型別的成分，因此疫苗對這一型別不具有保護力。但由于目前我國還同時(shí)存在甲型流感（包括H3N2和H1N1）和乙型流感Victoria系的流行，今年采用的流感疫苗包含了這三種型別的流感流行株。為降低特殊人群發(fā)病、重癥和死亡的風(fēng)險，推薦老年人、兒童、孕婦、慢性病患者和醫務(wù)人員等流感高危人群接種流感疫苗，6月齡以下嬰兒、孕婦和慢性病患者的家庭成員和看護人員也應考慮接種流感疫苗。</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">年齡＜5歲的兒童（尤其是年齡＜2歲兒童），易于發(fā)生嚴重并發(fā)癥，一旦出現持續高熱、伴有劇烈咳嗽、呼吸困難、神志改變、嚴重嘔吐與腹瀉等重癥傾向，應及時(shí)就診。奧司他韋等神經(jīng)氨酸酶抑制劑是流感的有效治療藥物，早期尤其是發(fā)病48小時(shí)之內應用抗流感病毒藥物能顯著(zhù)降低流感重癥和死亡的發(fā)生率?？共《舅幬飸卺t生的指導下使用。</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">四、日常生活中如何預防流感？學(xué)校、幼兒園作為人群密集區域，有的學(xué)校已出現學(xué)生集體感染流感的現象，為何兒童更容易感染流感？</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">預防流感等呼吸道傳染病首先要從個(gè)人日常防護開(kāi)始，平時(shí)注意良好的個(gè)人衛生習慣，包括：勤洗手；在流感流行季節，老年人與慢性病患者盡量避免去人群聚集場(chǎng)所，避免接觸呼吸道感染患者；出現流感樣癥狀后，要保持良好的呼吸道衛生習慣，咳嗽或打噴嚏時(shí)，用紙巾、毛巾等遮住口鼻，咳嗽或打噴嚏后洗手，盡量避免觸摸眼睛、鼻或口。家庭成員出現流感患者時(shí)，要盡量避免相互接觸，尤其是家中有老年人與慢性病患者時(shí)。當家長(cháng)帶有流感癥狀的患兒去醫院就診時(shí)，應同時(shí)做好患兒及自身的防護（如戴口罩），避免交叉感染。幼兒園、學(xué)校要落實(shí)晨午檢制度，出現集體感染事件時(shí)，學(xué)校應盡早對患兒采取隔離措施，建議患兒居家休息，避免其與班級內未感染孩子接觸，減少疾病傳播。</span> </p> <p style="margin-top:0px;margin-bottom:0px;padding:0px;color:#404040;font-family:"Microsoft YaHei";font-size:14px;white-space:normal;text-indent:2em;line-height:2em;"> <span style="font-size:16px;font-family:宋體, SimSun;">兒童更容易感染流感等呼吸道傳染病，原因可能有以下幾個(gè)方面：第一，學(xué)校、托幼機構為集體場(chǎng)所，兒童在集體場(chǎng)所中聚集、接觸密切，一旦有流感病例，很容易就導致疾病的傳播，出現更多病例；第二，兒童自然感染流感病毒或疫苗接種少，體內預存免疫弱，對流感病毒的交叉保護作用較弱；第三，兒童自身呼吸道較成人可能沒(méi)那么發(fā)育健全，且自身免疫系統處于發(fā)育狀態(tài)，容易受到流感等呼吸道病毒的侵襲并出現癥狀；第四，兒童的個(gè)人衛生習慣也不太良好，不能完全做到咳嗽遮住口鼻、勤洗手等，造成疾病傳播風(fēng)險加大。</span> </p> <p 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