山东省钩体病后发脑动脉炎患者流行特征分析  

Epidemiological Analysis of Patients'Encephalic Arteritis Complicated by Leptospirosis in Shandong Province

作　　者：王丽娟[1] 陈志林[1] 丁淑军[1] 

机构地区：[1]山东省疾病预防控制中心,山东济南250014

出　　处：《疾病监测》2003年第6期210-211,共2页Disease Surveillance

摘　　要：目的研究山东省钩体病后脑动脉炎病的流行病学特征。方法采用钩体显凝试验法 (microscopeag glutinationtest,MAT)检测 2 0 2例病人血清标本。结果钩体后脑动脉炎病人多集中在第 1、4季度 ,男女发病比为1 85∶1,多数病人在 18岁以下占 74 2 6 % (15 0 2 0 2 ) ,血清群分别为黄疸出血、爪哇、犬型、拜伦、秋季、澳洲、波摩那、流感伤寒、七日热、巴达维亚、曼耗。其中以波摩那群为主 ,占 6 0 89% (12 3 2 0 2 )。结论该类病人多发生在经济条件较差并有放猪习惯的地区 ,由于直接或间接接触带菌家畜污染的水、泥土等而感染患病。做好卫生宣传教育 ,改善农民的居住环境 。Objective To research the epidemiological feature of patients infected with Encephalic arteritis complicated by leptospirosis. Methods 202 serum samples were detected by using MAT. Results Most cases occurred in spring and winter. The ratio between men and women was 1.85∶1. A concentration of cases 74.26% (150/202) occurred below 18 years old. These patients were infected by 11 serogroups of leptospirae which were Icterohaemorrhagica?Javanica?Canicola?Ballum?Autumnalis?Australis?Pomona?Grippotyphosa?Hcbdomadis?Bataviae and Manhao separately. The serogroup of Pomona was dominant as 60.89% (123/202). Conclusion These patients mostly came from poor regions in which people were used to breeding pigs in their yards. They were infected through touching the water?mud and so on contaminated by infected livestock. It was the basic measure to prevent and control the disease that doing propaganda well?improving the living condition of peasants and protecting themselves.

关 键 词：山东 脑动脉炎 流行特征 流行病学 诊断 钩端螺旋体病 

分 类 号：R181.3[医药卫生—流行病学]