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目的掌握2006—2014年甘肃省庆阳市布鲁氏菌病流行病学特征,为调整防控策略提供科学依据。方法运用描述流行病学方法分析中国疾病监测信息系统报告的庆阳市布鲁氏菌病疫情信息资料。结果庆阳市布鲁氏菌病年均报告发病率3.61/10万,由2006年0.08/10万上升至2014年20.60/10万,呈逐年增加趋势,平均增幅28.46%;病例主要集中在合水县、华池县、庆城县,共发病488例,发病率为9.23/10万,占全部病例数的62.88%;发病高峰期在5—9月(72.42%);男性明显高于女性(χ2=179.123,P<0.01);在10月龄~83岁人群发病,各年龄组发病率差异有统计学意义(χ2=421.933,P<0.01),以40~59岁为最高(53.10%);职业以农民为主(90.59%);患者诊断所需时间2天到10年不等,能够在7天内确诊的病例数占56.19%,及时诊断率逐年提高;临床诊断81例(10.44%),实验室诊断695例(89.56%),疾病预防控制机构诊断447例(57.60%),综合医院诊断282例(36.34%),乡卫生院及其他机构诊断47例(6.06%)。结论 2006—2014年庆阳市布鲁氏菌病疫情逐年快速上升,波及范围逐年扩大,基层卫生院诊断率低,防治形势严峻,应加强布鲁氏菌病联合防控,落实综合防治措施,严防暴发和流行。
Objective To grasp the epidemiological characteristics of brucellosis in Qingyang City, Gansu Province from 2006 to 2014, and provide a scientific basis for adjusting prevention and control strategies. Methods Epidemiological methods were used to analyze the epidemic situation of brucellosis in Qingyang City reported by China Disease Surveillance Information System. Results The average annual incidence of brucellosis in Qingyang was 3.61 / lakh, rising from 0.08 / lakh in 2006 to 20.60 / lakh in 2014, showing an increasing trend year by year with an average increase of 28.46%. The cases mainly focused on 488 cases were found in Shui County, Huachi County and Qingcheng County, with an incidence rate of 9.23 / 100,000, accounting for 62.88% of the total number of cases; the peak incidence peak was in May-September (72.42%); the male was significantly higher than the female (χ2 = 179.123, P <0.01). The incidence of the disease in the age group of 10 months to 83 years was significantly different among all age groups (χ2 = 421.933, P <0.01) ); Occupation mainly farmers (90.59%); patient diagnosis time ranging from 2 days to 10 years, can be diagnosed within 7 days the number of cases accounted for 56.19%, timely diagnosis rate increased year by year; clinical diagnosis of 81 cases (10.44% ), 695 cases (89.56%) were diagnosed in laboratory, 447 cases (57.60%) were diagnosed by CDC, 282 cases (36.34%) were diagnosed by general hospitals, and 47 cases (6.06%) were diagnosed by township hospitals and other institutions. Conclusion The epidemic situation of brucellosis in Qingyang City increased rapidly year by year from 2006 to 2014, the scope of epidemic spread expanded year by year. The diagnosis rate of primary health care institutions was low and the situation of prevention and treatment was severe. Prevention and control of brucellosis should be strengthened and comprehensive prevention and control measures should be implemented. Prevent outbreaks and epidemics.