CAJ | 학술논문

目的分析郑州市人间布鲁氏菌病流行特征、疫情变化趋势及原因，为制定布氏菌病防治对策提供科学评价依据。方法根据《全国人间布鲁氏菌病监测工作方案》和《河南省布鲁氏菌病监测方案》要求，我市继续对巩义市全国布鲁氏菌病固定监测点以及全市其他11个县(市)、区作为非固定监测区进行监测；对从事家畜养殖、贩卖和屠宰等职业的布鲁氏菌病高危人群，采用试管凝集试验(AST)进行血清学检测。结果 2010年监测结果表明固定监测市对重点人群调查1692人，血清学试验(AST)509人，阳性39人，阳性率为7.66%；非固定监测县(市)、区对重点人群血清学试验(AST)1091人，阳性28人，阳性率为2.57%。全市新发急性期现症病人106例，发病率为1.540/10万。新发病人绝对数较去年同期上升55.88%。结论郑州市布鲁氏菌病疫情呈上升趋势，且有向城镇蔓延的趋势，根据流行特征，加大布病防治力度，防止疫情进一步扩散爆发。
목적분석정주시인간포로씨균병류행특정、역정변화추세급원인，위제정포씨균병방치대책제공과학평개의거。방법 근거《전국인간포로씨균병감측공작방안》화《하남성포로씨균병감측방안》요구，아시계속대공의시전국포로씨균병고정감측점이급전시기타11개현(시)、구작위비고정감측구진행감측；대종사가축양식、판매화도재등직업적포로씨균병고위인군，채용시관응집시험(AST)진행혈청학검측。결과 2010년감측결과표명고정감측시대중점인군조사1692인，혈청학시험(AST)509인，양성39인，양성솔위7.66%；비고정감측현(시)、구대중점인군혈청학시험(AST)1091인，양성28인，양성솔위2.57%。전시신발급성기현증병인106례，발병솔위1.540/10만。신발병인절대수교거년동기상승55.88%。결론 정주시포로씨균병역정정상승추세，차유향성진만연적추세，근거류행특정，가대포병방치력도，방지역정진일보확산폭발。
Objective: Analysis the epidemiological characteristics of human Brucellosis, the epidemic trends and the reasons in Zhengzhou city, in order to formulate the strategy to prevention and cure human Brucellosis, Methods:According to the <The National human Brucellosis monitoring program> and <Henan province human Brucellosis monitoring program>, we monitor the human Brucellosis in the national Brucellosis fixed monitoring site in Gongyi City and non-monitoring site in other 11 county(city) areas, we do the serology detect use the Tube agglutination test in human Brucellosis high risk population for instance the livestock’s cultivation, sell and slaughter. Results: The monitoring results in the year 2010 show that we survey 1692 people during high risk population in the fixed monitoring site and do the serology detect in 509 people, there is 39 positive, the positive rate is 7.66%, in the non-monitoring site, there is 28 positive in 1091 detected people, the positive rate is 2.57%. There is 106 acute phase of the present patients in zhengzhou city, the disease incidence is 1.540/one hundred thousand. The number of incidence of human Brucellosis is 55.88% higher than the same period last year. Conclusion: The epidemic of human Brucellosis has the trend of upward and spread to cities in the zhengzhou city, It must be enhance the prevention and cure of human Brucellosis efforts according to the epidemiological characteristics to avoid the epidemic further proliferation or outbreak.