锡林浩特市布病的发病-就诊间隔分析  

Analysis on the Characteristic brucellosis in Xinlinhot and the extension of incidence-treatment interval time

作　　者：于建元 米景川[2] 格日勒 尉瑞平[2] 郑重[2] 塔娜[2] 

机构地区：[1]锡林浩特市疾病预防控制中心,内蒙026000 [2]内蒙古自治区地方病防治研究中心 [3]内蒙古锡林郭勒盟地方病防治中心

出　　处：《医学动物防制》2010年第5期429-430,共2页Journal of Medical Pest Control

摘　　要：目的探讨锡林浩特市布鲁氏菌病的人群分布特征、临床特征、就诊规律及其对愈后的影响。方法在2436人的门诊就诊记录中,依据中华人民共和国卫生行业标准(WS269-2007)《布鲁氏菌病诊断标准》诊断的266例确诊新发病人,进行统计学分析。结果①该地区布鲁氏菌病以25～45岁的青壮年多发,男性高于女性;②职业以牧民为主,其次为从事畜产品收购加工的个体经营者;③发病高峰集中在5～8月份;④临床症状以发烧、出汗、肌肉关节疼、肢体乏力和头痛等症状为主,其中头痛症状的病人明显增多;⑤80%以上的病人在发病当月及时就诊,仍有不到20%的病人在3个月内没有及时到正规医疗机构治疗。结论病人如果不及时检查治疗,就很有可能由于发病-就诊间隔时间的延长,错过了最佳治疗时期,变成慢性布病病人。Objective Explore the distribution characteristics of Xilinhot brucellosis population,clinical characteristics,treatment rule and its effect on prognosis.Method In the 2436 people＇s clinic treatment records,according to the Health Industry Standard （WS269-2007） that ＂Brucellosis Diagnosis Standard＂ of The People＇s Republic of China,266 cases of new brucellosis were diagnosed,and do statistical analysis on these cases.Results ①Brucellosis in this region mainly on young-old adults ranged from 25 to 45,and multiple males than females;②Brucellosis population＇ Career mainly was herdsmen,the second was animal acquisitions self-employed person;③The peak incidence of brucellosis mainly.Concentrated in the month of 5-8;④Clinical symptoms was fever,sweating,muscle and joint pain,limb weakness and headache,and there were more patients with symptoms of headache;⑤For more than 80% of patients see doctor timely the very month,but there were still less than 20% of patients didn＇t see a doctor within 3 months.Conclusions this part of person had missed the best treatment period,and passed into a chronic state,because of the extension of incidence-treatment interval time.

关 键 词：布鲁氏菌病 人群分布规律 发病-就诊间隔 

分 类 号：R363.2[医药卫生—病理学]