CAJ | 학술논문

目的：探讨2014年瑞丽市登革热疫情流行特征，为登革热疫情的临床治疗、控制提供依据。方法选取2014年登革热病例疫情的4149份血清标本资料进行分析，采用登革热病毒NS1抗原法检测患者病理血清标本，并采用布雷图指数法对蚊媒密度进行监测，分析瑞丽市登革热流行性特征及其临床治疗方法。结果截止12月5日，检测血清标本4149份，检出阳性288份，检出率6.93%。对61份阳性样本进行PCR方法检测登革病毒核酸，阳性51份，符合率83.61%。基因分型：50份登革病毒1型，1份登革病毒2型。9月7日-12月24日，日平均布雷图指数(BI)最高为22.6，最低为0。结论该疫情由境外输入病例引起以城市居民区为中心疫点的登革热爆发疫情，疫情从6月上旬开始，至12月上旬结束，相关部门可以采用综合措施进行防控，布雷图指数≤5.0时疫情能够得到有效控制；对于确诊患者临床上应该采取积极有效的方法治疗。
목적：탐토2014년서려시등혁열역정류행특정，위등혁열역정적림상치료、공제제공의거。방법선취2014년등혁열병례역정적4149빈혈청표본자료진행분석，채용등혁열병독NS1항원법검측환자병리혈청표본，병채용포뢰도지수법대문매밀도진행감측，분석서려시등혁열류행성특정급기림상치료방법。결과절지12월5일，검측혈청표본4149빈，검출양성288빈，검출솔6.93%。대61빈양성양본진행PCR방법검측등혁병독핵산，양성51빈，부합솔83.61%。기인분형：50빈등혁병독1형，1빈등혁병독2형。9월7일-12월24일，일평균포뢰도지수(BI)최고위22.6，최저위0。결론해역정유경외수입병례인기이성시거민구위중심역점적등혁열폭발역정，역정종6월상순개시，지12월상순결속，상관부문가이채용종합조시진행방공，포뢰도지수≤5.0시역정능구득도유효공제；대우학진환자림상상응해채취적겁유효적방법치료。
Objective To investigate the 2014 dengue epidemic characteristics of Ruili City, the clinical treatment of dengue epidemic control to provide evidence. Methods 2014 cases of dengue epidemic in 4 149 serum samples were ana-lyzed using dengue virus NS1 antigen method pathology patient serum samples, and the use of Breteau index density of mosquito-borne monitoring, analysis features and Ruili dengue epidemic The clinical treatment. Results As of December 5, 4 149 parts of serum samples, detected 288 positive detection rate of 6.93%. 61 samples were positive by PCR to detect dengue virus nucleic acid, 51 parts positive, in line with the rate of 83.61%. Genotyping: 50 parts of type 1 dengue virus, type 2 dengue virus 1. September 7~12 24, the daily average Breteau index(BI) up to 22.6, the lowest zero. Conclusion The epidemic caused by the foreign imported case in urban area as the center of the dengue epidemic outbreak, the epidemic began in early June from beginning to end in early December, the relevant departments can use the comprehensive preven-tion and control measures, Breteau index ≤5.0 when the epidemic can be effectively controlled; for the clinical diagnosis should take positive and effective method of treatment.