2010—2014年济南市1010例布鲁菌病患者流行病学分析  

Epidemic analysis of 1 010 cases of brucellosis in Ji＇nan from 2010 to 2014

作　　者：王晶波[1] 崔师玉[1] 李玲[1] 赵秀红[1] 李晓迎[1] 耿大影[2] 

机构地区：[1]济南市传染病医院三科,济南250021 [2]济南市传染病医院中心实验室,济南250021

出　　处：《中华地方病学杂志》2016年第4期279-282,共4页Chinese Journal of Endemiology

摘　　要：目的分析济南市传染病医院门诊2010—2014年接诊的布鲁菌病（简称布病）的流行病学特征，为其防治提供数据参考。方法将济南市传染病医院自2010—2014年接诊、明确诊断的布病病例纳入研究，采用回顾性分析方法，对其流行病学资料进行数据统计，包括发病时间、年龄及职业分布等。结果2010—2014年，济南市传染病医院共接诊布病患者1010例，各年份分别为12、69、134、274、521例，呈快速上升趋势。发病高峰期有两个，首先是4—8月，各月份发病率分别为9．1％（92／1010）、12．2％（123／1010）、13．4％（135／1010）、11．1％（112／1010）、10．7％（108／1010）；其次为1月，发病率为9-4％（95／1010）。发病检出时间1周内者仅占13．4％（135／1010），72．4％（731／1010）的患者距发病时间2周以上。男性布病患病率明显高于女性，男女比例为2．36：1．00；年龄分布，40-49、50～59岁为发病高峰．发病率分别为29．3％（296／1010）、25．0％（252／1010）；职业以农牧民为主，占85．6％（865／1010）；9614％（974／1010）的患者有明确接触史，主要与羊、牛、猪等家畜有关，也有宠物饲养和喝羊奶致病者。结论济南市传染病医院接诊的布病患者数量，近5年来显著增加，传播途径主要为家畜饲养、加工，多数患者未能在早期及时诊断，当引起足够重视。Objective To provide data evidence for brucellosis prevention by a retrospective analysis of brucellosis epidemiologic feature in Ji＇nan Infectious Disease Hospital from 2010 - 2014 Method The brucellosis patients with confirmed diagnosis from 2010 to 2014 admitted to Ji＇nan Infectious Disease Hospital were included in this study, and their epidemic data were statistically analyzed, including time, age and occupation distributions. Results There were 1 010 brucellosis patients in total in Ji＇nan Infectious Disease Hospital from 2010 to 2014, and 12 cases, 69 cases, 134 cases, 274 cases and 521 cases, respectively, in each year, which showed rapid rising trend. There were two peak times, the first was from April to August, the incidence was 9.1% （92/1 010）, 12.2% （123/1 010）, 13.4% （135/1 010）, 11.1% （112/1 010） and 10.7% （108/1 010）, respectively, in each month; the second was January, the incidence was 9.4% （95/1 010）. The diagnosed rate within 1 week of onset only accounted for 13.4% （135/1 010）, and 72.4% （731/1 010） patients were diagnosed for more than two weeks after the onset. The male incidence of brucellosis was higher than the female, and the sex ratio was 2.36 ： 1.00. In terms of age distribution, 40 - 49 and 50 - 59 were both peak ages, with incidence of 29.3% （296/1 010） and 25.0% （252/1 010）, respectively. The professional was given priority to farmers and herdsmen （85.6%, 865/1 010）, and 96.4% （974/1 010） of the patients had a clear exposure history, mainly related to sheep, cattle, pigs and other livestock, also related to pets and milk. Conclusions The brucellosis patients that received in Ji＇nan Infectious Disease Hospital are increased significantly in the recent 5 years, and their transmission is closely associated with livestock breeding and processing. Most patients have failed timely diagnosis in the earty days, which should catch enough of our attention.

关 键 词：布鲁菌病 流行病学 数据收集 防治 

分 类 号：R516.7[医药卫生—内科学] R181.3[医药卫生—临床医学]