CAJ | 학술논문

目的调查分析太原市布鲁杆菌病(简称布病)发病动态,预测布病的发生趋势,为制订防治措施和政府决策提供科学的参考依据.方法采用描述性流行病学方法,对2006-2009年太原市布病网络报告病例时间、地区、人群的三间分布情况进行统计学描述和分析.结果 ①2006-2009年太原市布病发病率较高的为娄烦县(7.0783/10万～13.1257/10万)和清徐县(1.4811/10万～8.5241/10万),其次为阳曲县(0～5.8232/10万)、小店区(0.8108/10万～2.4229/10万)和晋源区(0.5329/10万～1.5896/10万),其余县(区)年发病率均在1/10万左右.②4年间太原市布病发病率呈逐年上升趋势,其中2008年娄烦县发生疫情爆发,因此当年发病率呈明显上升.③4年间全市发病总人数为223例,职业高发人群以农民为主,共140例,占62.78%,其次为学生和工人,分别为13、14例,占5.83%和6.28%,其他职业人群为56例,共占25.11%.④≥60岁人群共发病28例,占总发病人数的12.56%;20～59岁共发病173例,占77.58%;≤19岁人群共22例,占9.87%,且该年龄组所占比例呈逐年上升趋势,其中仅2009年3岁以下儿童发病3例.⑤4年间男性发病181例,女性42例,男女性别比约为4.5∶1.0.⑥每年布病发病时间趋势基本一致,全年散在发生,第2、3季度呈现出明显的季节性高发.结论 2006-2009年太原市布病疫情仍有不断上升趋势,职业高发人群以农民为主,有向低年龄化蔓延的趋势,建议高危人群加强防护.
목적 조사분석태원시포로간균병(간칭포병)발병동태,예측포병적발생추세,위제정방치조시화정부결책제공과학적삼고의거.방법 채용묘술성류행병학방법,대2006-2009년태원시포병망락보고병례시간、지구、인군적삼간분포정황진행통계학묘술화분석.결과 ①2006-2009년태원시포병발병솔교고적위루번현(7.0783/10만～13.1257/10만)화청서현(1.4811/10만～8.5241/10만),기차위양곡현(0～5.8232/10만)、소점구(0.8108/10만～2.4229/10만)화진원구(0.5329/10만～1.5896/10만),기여현(구)년발병솔균재1/10만좌우.②4년간태원시포병발병솔정축년상승추세,기중2008년루번현발생역정폭발,인차당년발병솔정명현상승.③4년간전시발병총인수위223례,직업고발인군이농민위주,공140례,점62.78%,기차위학생화공인,분별위13、14례,점5.83%화6.28%,기타직업인군위56례,공점25.11%.④≥60세인군공발병28례,점총발병인수적12.56%;20～59세공발병173례,점77.58%;≤19세인군공22례,점9.87%,차해년령조소점비례정축년상승추세,기중부2009년3세이하인동발병3례.⑤4년간남성발병181례,녀성42례,남녀성별비약위4.5∶1.0.⑥매년포병발병시간추세기본일치,전년산재발생,제2、3계도정현출명현적계절성고발.결론 2006-2009년태원시포병역정잉유불단상승추세,직업고발인군이농민위주,유향저년령화만연적추세,건의고위인군가강방호.
Objective To reveal and forecast the incidence trend of Brucellosis, in order to provide acientific basis for future intervention and policy-making. Methods Descriptive epidemiological method was used to analyze and statistically describe the distribution of the disease in different times, different locations and different (7.0783/10 million to 13.1257/10 million) and Qingxu ( 1.4811/10 million to 8.5241/10 million) were higher,followed by Yangqu county(0 to 5.8232/10 million), Xiaodian(0.8108/l0 million to 2.4229/10 million) and Jinyuan district ( 0.5329/ 10 million to 1.5896/10 million), and the remaining counties(districts) in the annual There were 223 cases of Brucellosis patients from 2006 to 2009 in Taiyuan. Vocational high risk population was farmers, with a total of 140 cases, accounting for 62.78% of the total number of incidence, followed by students and workers, respectively, 13, 14 cases, accounting for 5.83% and 6.28%, other occupational groups, 56 cases,77.58%;28 cases aged above 60 years, accounting for 12.56%;22 cases aged younger than 19 years, accounting identical in the four years, most cases occurred in spring and summer and showing a clear seasonal high.Conclusions The incidence trend of Brucellosis is on the rise from 2006 to 2009. High risk population is farmer,and the number of younger patients is on the rise, we propose strengthen protection for high risk groups.