CAJ | 학술논문

目的了解内蒙古乌兰察布市布鲁杆菌病(布病)发病情况,为制定防治措施提供依据.方法 2010年11-12月,按照《内蒙古自治区人间布鲁氏菌病基线调查方案》中的要求,采取分层整群等量抽样调查方法,在全市的11个旗(市、县、区)按布病病情各抽取轻、中、重3个乡镇(苏木),每个乡镇(苏木)抽取3个村或嘎查,每个乡镇(苏木)至少调查200人,年龄≥10岁,每个旗(市、县、区)至少调查600人.对被调查者进行健康教育问卷调查和临床诊断.问卷调查包括对布病基本知识、布病危险因素、布病防治常识的了解.临床诊断确诊是否是疑似病例.根据知情同意的原则,采集被调查者静脉血,初筛用虎红平板试验,确诊用标准试管凝集试验,抗体滴度1∶100(++)及以上为阳性,统计布病感染率.参照2010年乌兰察布市布病33个乡镇(苏木)的网报结果,统计患病率、漏报率以及不同年龄、性别、职业的发病率.结果共下发调查问卷6998份,有效卷数6763份.布病基本知识知晓率为57.99％(15 687/27 052),布病危险因素知晓率为44.33％(29 978/67 630),布病防治常识知晓率为41.66％(28 176/67 630),总知晓率为45.49％(73 841/162 312).血清学检查阳性591人,感染率为8.48％(591/69 972).确诊布病患者903例,患病率为105.13/万(903/85 894)；33个乡镇(苏木)网报新发病例数/年为785例,发病率/年为91.39/万(785/85 894);漏报病例数/年为377例,漏报率/年为48.03％(377/785).男性感染率为71.07％(420/3755),女性感染率为28.93％(171/3217),31岁以上感染率(97.63％,577/591)明显高于30岁以下(2.37％,14/591).养殖业感染率为8.61％(582/669),畜产品加工业感染率为2.91％(2/103),畜产品流通业感染率为2.85％(2/70),其他行业感染率为4.59％(5/109).结论乌兰察布市布病发病率较高,漏报率较高,养殖业感染率高,青壮年发病多,男性发病多,布病防治知识知晓率低.应有针对性地开展健康教育宣传,提高病区居民自我保护意识,降低布病的发生. 目的瞭解內矇古烏蘭察佈市佈魯桿菌病(佈病)髮病情況,為製定防治措施提供依據.方法 2010年11-12月,按照《內矇古自治區人間佈魯氏菌病基線調查方案》中的要求,採取分層整群等量抽樣調查方法,在全市的11箇旂(市、縣、區)按佈病病情各抽取輕、中、重3箇鄉鎮(囌木),每箇鄉鎮(囌木)抽取3箇村或嘎查,每箇鄉鎮(囌木)至少調查200人,年齡≥10歲,每箇旂(市、縣、區)至少調查600人.對被調查者進行健康教育問捲調查和臨床診斷.問捲調查包括對佈病基本知識、佈病危險因素、佈病防治常識的瞭解.臨床診斷確診是否是疑似病例.根據知情同意的原則,採集被調查者靜脈血,初篩用虎紅平闆試驗,確診用標準試管凝集試驗,抗體滴度1∶100(++)及以上為暘性,統計佈病感染率.參照2010年烏蘭察佈市佈病33箇鄉鎮(囌木)的網報結果,統計患病率、漏報率以及不同年齡、性彆、職業的髮病率.結果共下髮調查問捲6998份,有效捲數6763份.佈病基本知識知曉率為57.99％(15 687/27 052),佈病危險因素知曉率為44.33％(29 978/67 630),佈病防治常識知曉率為41.66％(28 176/67 630),總知曉率為45.49％(73 841/162 312).血清學檢查暘性591人,感染率為8.48％(591/69 972).確診佈病患者903例,患病率為105.13/萬(903/85 894)；33箇鄉鎮(囌木)網報新髮病例數/年為785例,髮病率/年為91.39/萬(785/85 894);漏報病例數/年為377例,漏報率/年為48.03％(377/785).男性感染率為71.07％(420/3755),女性感染率為28.93％(171/3217),31歲以上感染率(97.63％,577/591)明顯高于30歲以下(2.37％,14/591).養殖業感染率為8.61％(582/669),畜產品加工業感染率為2.91％(2/103),畜產品流通業感染率為2.85％(2/70),其他行業感染率為4.59％(5/109).結論烏蘭察佈市佈病髮病率較高,漏報率較高,養殖業感染率高,青壯年髮病多,男性髮病多,佈病防治知識知曉率低.應有針對性地開展健康教育宣傳,提高病區居民自我保護意識,降低佈病的髮生.
목적 료해내몽고오란찰포시포로간균병(포병)발병정황,위제정방치조시제공의거.방법 2010년11-12월,안조《내몽고자치구인간포로씨균병기선조사방안》중적요구,채취분층정군등량추양조사방법,재전시적11개기(시、현、구)안포병병정각추취경、중、중3개향진(소목),매개향진(소목)추취3개촌혹알사,매개향진(소목)지소조사200인,년령≥10세,매개기(시、현、구)지소조사600인.대피조사자진행건강교육문권조사화림상진단.문권조사포괄대포병기본지식、포병위험인소、포병방치상식적료해.림상진단학진시부시의사병례.근거지정동의적원칙,채집피조사자정맥혈,초사용호홍평판시험,학진용표준시관응집시험,항체적도1∶100(++)급이상위양성,통계포병감염솔.삼조2010년오란찰포시포병33개향진(소목)적망보결과,통계환병솔、루보솔이급불동년령、성별、직업적발병솔.결과 공하발조사문권6998빈,유효권수6763빈.포병기본지식지효솔위57.99％(15 687/27 052),포병위험인소지효솔위44.33％(29 978/67 630),포병방치상식지효솔위41.66％(28 176/67 630),총지효솔위45.49％(73 841/162 312).혈청학검사양성591인,감염솔위8.48％(591/69 972).학진포병환자903례,환병솔위105.13/만(903/85 894)；33개향진(소목)망보신발병례수/년위785례,발병솔/년위91.39/만(785/85 894);루보병례수/년위377례,루보솔/년위48.03％(377/785).남성감염솔위71.07％(420/3755),녀성감염솔위28.93％(171/3217),31세이상감염솔(97.63％,577/591)명현고우30세이하(2.37％,14/591).양식업감염솔위8.61％(582/669),축산품가공업감염솔위2.91％(2/103),축산품류통업감염솔위2.85％(2/70),기타행업감염솔위4.59％(5/109).결론 오란찰포시포병발병솔교고,루보솔교고,양식업감염솔고,청장년발병다,남성발병다,포병방치지식지효솔저.응유침대성지개전건강교육선전,제고병구거민자아보호의식,강저포병적발생.
Objective To understand the morbidity of human brucellosis in Wulanchabu City of Inner Mongolia in order to provide a basis for development of prevention and control measures.Methods According to the requirements in "Baseline Survey Programme of Human Brucellosis in Inner Mongolia Autonomous Region"between November and December in 2010,stratified cluster sampling method was used to selected three townships according to the conditions of brucellosis(mild,moderate and serious) in 11 flags(cities,counties,districts) of the city.Three villages were extracted from each township.There were at least 200 persons aged 10 and older were investigated in every township.At least 600 people were investigated in every flag(city,county,district).Respondents were investigated about their awareness rate of basic knowledge about brucellosis,risk factors and common sense of prevention and treatment of the disease by using health education questionnaire.Based on the principle of informed consent,we collected respondents venous blood for preliminary screening using Hu red tablets.Brucellosis was confirmed with standard tube agglutination test and positive result was confirmed if 1:100 antibody concentration was two + or more.Prevalence,false negative rate as well as different age,gender,occupational incidence was calculated based on the network reported results of brucellosis in 33 townships of Wulanchabu in 2010.Results We distributed 6998 questionnaires and 6763 questionnaires were effective.The witting rate of basic knowledge about brucellosis was 57.99％(15 687/27 052); the witting rate of risk factors about brucellosis was 44.33％ (29 978/67 630); the witting rate for prevention and control of brucellosis was 41.66％(28 176/67 630),and total witting rate was 45.49％(73 841/162 312).The morbidity of brucellosis in Wulanchabu City was 91.39/10 000 (785/85 894) in 2010.Five hundred and ninety-one were serologically positive and the infection rate was 8.48％ (591/69 972).Nine hundred and three cases of patients were diagnosed with brucellosis and the prevalence rate of brucellosis was 105.13/10 000 (903/85 894).Missing report 377 cases,and the false negative rate was 48.03％ (377/785) in 2010.Men infection rate was 71.07％(420/3755) and women infection rate was 28.93％(171/3217).The infection rate[97.63％(577/591)] of people aged 31 and older was significantly higher than that [2.37％(14/591)] of the people aged 30 and younger.Infection rate of people engaged in aquaculture was 8.61％ (582/669).The infection rate of people working in livestock processing industry was 2.91％ (2/103).The infection rate of people working in animal by-product circulation was 2.85％ (2/70).The Infection rate of people working in other industries was 4.59％(5/109).Conclusions In Wulanchabu City,the morbidity of brucellosis and missing report rate are both high.The infection rate of people engaged in aquaculture is high and man morbidity is high.The awareness rate about prevention and treatment knowledge of brucellosis is low.We should carry out health education to inhabitants in endemic areas to improve their self-protection awareness and reduce the incidence of brucellosis.