三峡库区钩端螺旋体病血清流行病学调查  

Sero-Epidemiological Investigation of Leptospirosis in the Three Gorge Reservoir Area

作　　者：吴国辉[1] 王伟军[1] 陈代鸿[1] 韩力苏[1] 贾庆良[1] 王豫林[1] 

机构地区：[1]重庆市卫生防疫站,400042

出　　处：《中国媒介生物学及控制杂志》2000年第5期367-369,共3页Chinese Journal of Vector Biology and Control

摘　　要：目的 :摸清库区钩体疫源地的分布、人群钩体抗体水平及菌群分布。方法 :显微凝集试验。结果 :1998年从三峡库区 7个疾病监测点采集健康人血清 513份 ,钩端螺旋体 (钩体 )抗体阳性 165人 (阳性率 32 .16% ) ,各监测点阳性率从 11.11%～ 50 .0 0 %不等。抗体阳性率与性别无关 ,而与年龄密切相关。库区人群含 9群钩体血清抗体 ,以黄疸出血群为主。钩体血清菌群GMT值均不高。结论 :库区人群钩体免疫水平低下 。In order to find out the main area and crowd infected by leptospirosis and the main epidemic leptospir serogroups in the three gorge reservoir area, 513 serum samples were collected from healthy people in 7 monitoring places in 1998 and leptospira antibody was examined. Results showed that 165 cases were positive (32.16%), from 11.11% to 50.00% in different areas. The infection was interrelated to age but not to sex. There were 9 serogroups of leptospira antibody identified in this study. Icterohaemorrhagiae serogroups were the dominant serogroup. All of the serogroups antibody in the throng of people in lower level. It suggests that the surveillance of leptospirosis need to be strengthened and a comprehensive strategy including effective management and control leptospirosis need to be developed in the three gorge reservoir area.

关 键 词：钩端螺旋体病 血清流行病学 抗体 显微凝集试验 

分 类 号：R514.404[医药卫生—内科学] R446.11[医药卫生—临床医学]