2016—2020年锡林郭勒盟布鲁菌病病例就诊情况分析  

Analysis on the current situation of diagnosis of brucellosis cases in Xilingol League from 2016 to 2020

作　　者：毕彦伟 彭爱云 张姝琼 张思远 张慧玲 李凡 BI Yanwei;PENG Aiyun;ZHANG Shuqiong;ZHANG Siyuan;ZHANG Huiling;LI Fan(Xilingol League Center for Disease Control and Prevention Public Health Department,Xilinhot,Inner Mongolia Autonomous Region 026000,China)

机构地区：[1]锡林郭勒盟疾病预防控制中心公共卫生科,内蒙古自治区锡林浩特026000

出　　处：《医学动物防制》2024年第6期571-574,579,共5页Journal of Medical Pest Control

基　　金：内蒙古自治区卫生健康科技计划项目(202201619)。

摘　　要：目的掌握锡林郭勒盟2016—2020年布鲁菌病(布病)病例就诊情况,为有针对性地对病例开展督导和管理,合理配置医疗资源提供参考依据。方法从“中国疾病预防控制信息系统”导出2016—2020年布病个案信息,通过发病-诊断间隔、急性期诊断比例和就诊地点分析布病病例就诊的相关情况。发病-诊断间隔用中位数、四分位数间距描述,率和占比的比较、单因素分析用χ^(2)检验,以P<0.05为差异有统计学意义。结果锡林郭勒盟2016—2020年共报告布病4662例,农牧民等职业人群占81.04%,发病年龄以30~<60岁为主,占77.33%,男女性别比为1.69∶1。异地就诊率超过60.00%的有东乌珠穆沁旗、阿巴嘎旗、苏尼特左旗、苏尼特右旗和二连浩特市,病例主要流向盟级医疗机构。发病-诊断间隔中位数为4d,92.86%的病例可在急性期内诊断;非职业人群布病的急性期诊断比例低于职业人群(χ^(2)=10.054,P=0.002)。结论锡林郭勒盟是布病发病的热点地区,病例发病后诊断比较及时。全盟范围来看,该地区布病诊疗能力和资源相对充足,但以旗县为单位,各地布病诊疗水平和资源呈现极不均衡,总体向盟级医疗机构聚集的特点。Objective To hold the status of brucellosis visits in Xilingol League from 2016 to 2020,and to provide a reference for targeted carrying out supervision and management of cases and rationally allocating medical resources in this area.Methods The individual cases data of brucellosis in Xilingol League from 2016 to 2020 were collected from the infectious disease information management system of the Chinese Center for Disease Control and Prevention(CDC).The patient's visit-related information on brucellosis was by analyzing the intervals between onset and diagnosis of brucellosis cases,the proportion of acute diagnosis,and the visiting place.The interval between onset and diagnosis was described using median and interquartile intervals.The comparison of rate and percentage and single factor analysis used the Chi-square test,with P<0.05 as the statistically significant difference.Results From 2016 to 2020,a total of 4662 brucellosis cases were reported in Xilingol League.Farmers and herders were the main occupational population accounted for 81.04%,and the age of onset was mainly 30-<60 years old,accounting for 77.33%,and the male-to-female sex ratio was 1.69∶1.The non-local medical treatment rate exceeded 60.00%in Dongwuzhumuqin Banner,Abaga Banner,Sunitezuoqi,Suniteyouqi,and Erenhot City,and the cases mainly flowed to leaguelevel medical institutions.The median onset-diagnosis interval was 4 days,and 92.86%of cases could be diagnosed in the acute phase.The proportion of acute diagnoses of brucellosis in the non-occupational population was lower than that in the occupational population(χ^(2)=10.054,P=0.002).Conclusion Xilingol League is a hot spot for incidence of brucellosis,and the diagnosis of the case is timely after the onset of the disease.From the perspective of the whole league,the capacity and resources of brucellosis diagnosis and treatment are relatively sufficient in the region.However,the level and resources of brucellosis diagnosis and treatment on the basis of flag-county are extremely unbalanced,a

关 键 词：布鲁菌病 网络报告 就诊行为 锡林郭勒盟 分析 

分 类 号：R516.7[医药卫生—内科学]