齐齐哈尔市梅里斯区布鲁氏菌病感染危险因素调查分析  

Risk factors of human brucellosis in Meilisi district,Qiqihaer municipality

作　　者：常殊杰[1] 金福芝[1] 殷文武[2] 杨岩[3] 庞瑞发 满腾飞[2] 窦丰满[2] 关春鸿[1] 赵欣娜[1] 高宏 

机构地区：[1]齐齐哈尔市疾病预防控制中心,黑龙江齐齐哈尔161005 [2]中国疾病预防控制中心 [3]黑龙江省疾病预防控制中心 [4]齐齐哈尔市梅里斯区疾病预防控制中心

出　　处：《疾病监测》2011年第2期133-135,共3页Disease Surveillance

基　　金：卫生行业科研专项项目(No.200802024)~~

摘　　要：目的调查布鲁氏菌病(布病)感染高发区的危险因素,分析与布病发生的关系。方法 2008年采用分层抽样方法,随机抽取高危人群开展布病流行病学调查问卷,对病例组53例,对照组342人进行病例对照研究。结果共调查2459人,发病7例,发病率为284.66/10万;养殖户的感染率大于非养殖户感染率;单因素分析结果显示,齐齐哈尔市梅里斯区布病感染的危险因素是养羊数量、羊产羔数量、羊流产数量和羊羔在室内饲养数量、放牧、接羔、收拾家畜粪便、参加家畜免疫、剥皮、吃病畜肉、抱羊羔和抱牛犊。结论齐齐哈尔市梅里斯区布病的传染源主要是感染布病的羊,布病牛占次要位置。应采取检疫、免疫、淘汰病畜等措施,提倡圈养,对广大群众加强布病防治健康教育,使农民在饲养、接羔、打扫圈舍和处理流产物时做好个人卫生防护,不吃生或未煮熟的牛羊肉,以降低人间布病的发生。Objective To Investigate the risk factors of human brucellosis in the area with high incidence of the disease. Methods The epidemiological questionnaire survey of brucellosis was conducted among high risk population randomly sampled and a case control study was conducted in 2008. Results Totally 2459 people were surveyed, and 7 brucellosis cases were detected, the incidence was 284. 66/lakh; the infection rate in livestock raisers was much higher than that in other people; the result of single factor analysis indicated that the risk factors of human Brucella infection in Meilisi included the number of raised sheep or goat, number of limbs, number of sheep/goat abortion, number of sheep/goat raised indoors, grazing, delivering Iambs, cleaning livestock manure, assisting livestock vaccination, peeling, eating sick livestock, holding lamb or calf in the arm. Conclusion Sick sheep/goat was the major infection source of Brucella infection in human in Meilisi, followed by sick cattle. It is necessary to strengthen quarantine; vaccination of livestock, eliminate sick livestock, promote raising in a pen and conduct health education to reduce the incidence of human brucellosis.

关 键 词：布鲁氏菌病 发病率 养殖户 危险因素 病例对照研究 

分 类 号：R516.7[医药卫生—内科学]