首页|济源市急性布鲁菌病流行病学调查及患者临床特征分析

济源市急性布鲁菌病流行病学调查及患者临床特征分析

扫码查看
目的 调查分析济源市急性布鲁菌病流行病学及患者临床特征,为防控布鲁氏菌病提供参考。方法 选取2020 年 2 月至 2022 年 12 月济源市急性布鲁氏菌病病例 305 例,采集并分析患者人口学资料、布鲁氏菌病流行病学史、临床表现及流行病学特征。结果 305例急性布鲁氏菌病患者中,男性发病高于女性,多发于41~60岁区间人群;2020 年至 2022 年急性布鲁氏菌病发病率呈现升高趋势,该时间段疾病高发时期为 3 月至 6 月;急性布鲁氏菌病高发人群多为有羊、牛等动物及污染产品接触史者,包括羊、牛养殖户或家附近有养殖情况、屠宰羊、牛者,羊肉制品、乳液加工者,羊、牛皮毛工作者以及涮、烤食用牛羊肉者;急性布鲁氏菌病患者初始发病可见发热伴随寒战、乏力多汗等类似感冒症状,急性期患者可出现肌肉和关节疼痛表现,部分急性期病例可能出现肝脾肿大、淋巴结肿大、睾丸肿痛等症状,经治疗后发热、肌肉酸痛等症状消失,通过肝功能,血常规等病原检查转阴。结论 对于本地区疾病发病率升高趋势,应结合当地环境及发病特点,加强对布鲁氏菌病的预防宣传教育,提高人们的防护意识以及卫生教育,及早发现、及时治疗,重视疾病诊断,做好急性布鲁菌病防控工作。
Epidemiological Investigation and Clinical Characteristics Analysis of Acute Brucellosis Patients in Jiyuan City
Objective To investigate and analyze the epidemiology and clinical characteristics of acute brucellosis in Jiyuan City,providing a reference for the prevention and control of brucellosis.Methods 305 cases of acute brucellosis in Jiyuan City from February 2020 to December 2022 were selected,and the patients'demographic data,epidemiological history of brucellosis,clinical manifestations,and epidemiological characteristics were collected and analyzed.Results Among the 305 patients with acute brucellosis,the incidence was higher in males than in females,and it was more common in people aged 41~60 years.From 2020 to 2022,the incidence of acute brucellosis showed an increasing trend,with the high-incidence period being from March to June.The high-risk population for acute brucellosis were those who had contact with animals such as sheep and cows and contaminated products,including sheep and cow breeders or those living near breeding sites,those who slaughter sheep and cows,those who process mutton products and emulsions,those who work with sheep and cow hides,and those who eat hot pot and barbecue mutton and beef.The initial onset of acute brucellosis can present with fever accompanied by chills,fatigue,and excessive sweating,similar to flu symptoms.During the acute phase,patients may experience muscle and joint pain,and some acute cases may present with hepatosplenomegaly,lymphadenopathy,and testicular pain.After treatment,symptoms such as fever and muscle soreness disappear,and pathogen tests such as liver function and routine blood tests turn negative.Conclusion In view of the increasing incidence of the disease in this region,it is necessary to strengthen the prevention and education of brucellosis,improve people's awareness of protection and health education,detect and treat the disease early,pay attention to disease diagnosis,and do a good job in the prevention and control of acute brucellosis.

acute brucellosisepidemiologyclinical characteristics

薛治军、杜小波

展开 >

济源市疾病预防控制中心 病媒生物防治科,河南 济源 459000

急性布鲁菌病 流行病学 临床特征

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)