CAJ | 학술논문

目的分析迁安市2007 - 2010年布鲁杆菌病（简称布病）的流行特点，为制订布病的防控措施提供依据。方法 2007 - 2010年布病疫情资料来源于“国家疾病监测信息报告管理系统”，人口资料来源于“国家疾病监测信息报告管理系统的基本信息系统”，采用描述性流行病学方法进行统计分析。结果 2007 - 2010年共报告了86例布病患者，男性68例，女性18例，男女比例3.78：1。年龄主要集中在20～55岁，并以40～＜45岁组患病最多，所有患者均为本地感染，职业多为畜产品收购、加工和养殖人员。建昌营镇报告病例最多，为51例，占59.30％。其中，2007年，报告发病13例，报告发病率为2.01/10万(13/647 983)，2010年共报告了39例布病患者，报告发病率为5.63/10万(39/657 380)，呈波动上升的趋势。2007年仅有2个乡（镇）发生布病，到2010年波及全市的8个乡（镇）和城区。结论迁安市的布病疫情有扩散蔓延的趋势，建议政府加强对牲畜的检疫和染疫病畜的及时处理，在重点加强建昌营镇布病防治工作的同时，加强全市的布病防治工作。同时加大布病的宣传力度，提高职业人群的自我保护意识，防止疫情进一步扩散蔓延。
목적 분석천안시2007 - 2010년포로간균병（간칭포병）적류행특점，위제정포병적방공조시제공의거。방법 2007 - 2010년포병역정자료래원우“국가질병감측신식보고관리계통”，인구자료래원우“국가질병감측신식보고관리계통적기본신식계통”，채용묘술성류행병학방법진행통계분석。결과 2007 - 2010년공보고료86례포병환자，남성68례，녀성18례，남녀비례3.78：1。년령주요집중재20～55세，병이40～＜45세조환병최다，소유환자균위본지감염，직업다위축산품수구、가공화양식인원。건창영진보고병례최다，위51례，점59.30％。기중，2007년，보고발병13례，보고발병솔위2.01/10만(13/647 983)，2010년공보고료39례포병환자，보고발병솔위5.63/10만(39/657 380)，정파동상승적추세。2007년부유2개향（진）발생포병，도2010년파급전시적8개향（진）화성구。결론 천안시적포병역정유확산만연적추세，건의정부가강대생축적검역화염역병축적급시처리，재중점가강건창영진포병방치공작적동시，가강전시적포병방치공작。동시가대포병적선전력도，제고직업인군적자아보호의식，방지역정진일보확산만연。
Objective To analyze the prevalence and epidemic trend of human brucellosis between 2007 -2010 in Qian'an county, and to provide a basis for future prevention and control measures. Methods Epidemiological data of brucellosis between 2007 - 2010 were obtained from the "national disease surveillance report on management information system", population data were from the "national disease surveillance information management system for basic information reporting system", and descriptive epidemiological methods was used for statistical analysis. Results A total of 86 cases were infected with brucellosis in Qian'an county from 2007 to 2010, with 68 cases of male and 18 cases of female, and male to female ratio was 3.78 : 1. Patients were mainly in the age of 20 - 55, with 40 - ＜ 45 year-old group the highest. All patients were local residents. Most professional were livestock acquisition, processing and aquaculture personnel. The majority of patients lived in Jianchang town,with 51 cases, accounting for 59.30％. Thirteen patients were reported in 2007, incidence was 0.0201‰(13/ 647 983). Thirty-nine patients were reported in 2010, and incidence was 0.0563‰(39/657 380). There was a fluctuations increase from 2007 to 2010. In 2007 brucellosis occurred in only two townships(towns), which spread to eight townships (towns) and urban areas in 2010. Conclusions The epidemic of human brucellosis in Qian'an is in a spreading trend. We recommend the government to strengthen the quarantine of livestock, and the infected livestock should be timely treated. Strengthen the prevention and control in Jianchangying. At the same time increase the brucellosis propaganda, and enhance self-protection awareness of the occupational groups.