2018—2022年连云港市人间布鲁菌病流行特征分析  

Epidemiologic features of human brucellosis in Lianyungang City from 2018 to 2022

作　　者：支明 牟婧男 郑艳泽 张嘉陵[1] 赵兴[1] ZHI Ming;MU Jingnan;ZHENG Yanze;ZHANG Jialing;ZHAO Xing(Department of Acute Infectious Disease Control,Lianyungang Center for Disease Control and Prevention,Lianyungang,Jiangsu 222000,China)

机构地区：[1]连云港市疾病预防控制中心急性传染病防制科,江苏连云港222000

出　　处：《医学动物防制》2024年第8期766-769,773,共5页Journal of Medical Pest Control

基　　金：江苏省卫生健康委科研项目(Z2020078)。

摘　　要：目的探讨连云港市2018—2022年布鲁菌病(简称布病)发生的流行特征,为连云港市布病的监测防控提供科学依据。方法采用描述流行病学分析方法,对2018—2022年连云港市布病发病情况进行统计,分析布病的三间分布情况,并用集中度和圆形分布法分析其季节性特征,通过SPSS 26.0软件对数据进行统计学分析,线性趋势检验分析年度趋势变化,χ^(2)检验比较计数资料的组间差异。结果2018—2022年连云港市共报告布病病例237例,无死亡病例,发病总体呈上升趋势(χ^(2)=16.19,P<0.05);病例发病主要集中在3~9月,占69.20%(164/237);发病高峰日为6月15日,流行期为3月24日~9月26日;全市各县区均有布病病例报告,主要分布在东海县(157例);男女性别比为2.16∶1;病例年龄主要集中在30~<70岁,占总病例数的81.86%(194/237);职业以农民为主,占总病例数的78.06%(185/237)。结论连云港市布病发病率呈上升趋势,3~9月是布病高发月份,布病的重点防护对象为30~<70岁男性农民,重点防控区域为东海县,应在布病高发季节加强该市重点职业人群布病防控的健康教育及健康监测。Objective To explore the epidemiologic features of brucellosis(referred to as brucellosis)occurrence in Lianyungang City from 2018 to 2022,and to provide a scientific basis for the monitoring,prevention and control of brucellosis in Lianyungang City.Methods Descriptive epidemiological analysis method was used to statistic the incidence of brucellosis in Lianyungang City from 2018 to 2022,analyze spatial,temporal and population distribution of brucellosis,and analyze the seasonal characteristics using the concentration and circular distribution method.The data were statistically analyzed by SPSS 26.0 software,the annual trend changes were analyzed by linear trend test,and the difference between groups for count data was compared by Chi-square test.Results From 2018 to 2022,a total of 237 cases of brucellosis were reported in Lianyungang City,with no deaths,and the overall trend of incidence was on the rise(χ^(2)=16.19,P<0.05).The onset of cases mainly occurred from March to September,accounting for 69.20%(164/237).The peak date of the incidence was June 15,and the epidemic period was March 24 to September 26.Cases of brucellosis were reported in all counties and districts of the city,mainly distributed in Donghai County(157 cases).The gender ratio of male to female was 2.16∶1.The age of cases was mainly concentrated in the age group of 30-<70 years old,accounting for 81.86%(194/237)of the total cases.The occupation was mainly peasants,accounting for 78.06%(185/237)of the total cases.Conclusion The incidence of brucellosis in Lianyungang City showed an upward trend,and March to September is a high incidence months of brucellosis.The key protection objects are male peasants aged 30-<70.The key prevention and control areas are Donghai County.It should strengthen health education and health monitoring for the prevention and control of brucellosis in key occupational groups in the city during the high incidence season.

关 键 词：布鲁菌病 流行病学特征 集中度 圆形分布法 防控措施 分析 

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