中国卫生产业
中國衛生產業
중국위생산업
China Health Industry
2015年
18期
168-171
,共4页
黄雁林%韩风池%李万书%伍秀敏%卓超界%李凌刚
黃雁林%韓風池%李萬書%伍秀敏%卓超界%李凌剛
황안림%한풍지%리만서%오수민%탁초계%리릉강
钩端螺旋体病%疫情%MAT%鼠情监测%防控措施
鉤耑螺鏇體病%疫情%MAT%鼠情鑑測%防控措施
구단라선체병%역정%MAT%서정감측%방공조시
Leptospira disease%Epidemic situation%MAT%Rat density monitoring%Control measures
目的：通过2010—2014年四川省宜宾市钩端螺旋体病疫情及监测分析，探讨宜宾市钩端螺旋体病流行的危险关键控制点，为制定防控措施提供决策依据。方法用夜夹法布夹监测鼠密度、鼠种；采集鼠肾做钩端螺旋体培养及鉴定；采集健康人群血清用显微镜凝结实验（MAT）进行抗体测定。结果7个区县报告钩体病例41例，年均发病率0.18/10万；健康人群血清500人份，钩体病抗体阳性率31.0%；布鼠夹10207夹次，捕获野鼠140只，鼠密度为13.7‰，黑线姬鼠51只占比为36.4%、褐家鼠33只占比为23.6%、小家鼠31只占比为22.1%；鼠肾培养111只，培养出钩端螺旋体5株，带菌率4.5%，黑线姬鼠4只带菌，占比为80%。结论2010—2014年四川省宜宾市钩端螺旋体病处于较低水平，疫情均为散发，健康人群抗体水平出现下降，监测点野鼠密度较低，优势鼠种以黑线姬鼠、褐家鼠和小家鼠为主，黑线姬鼠钩端螺旋体带菌率较高。
目的：通過2010—2014年四川省宜賓市鉤耑螺鏇體病疫情及鑑測分析，探討宜賓市鉤耑螺鏇體病流行的危險關鍵控製點，為製定防控措施提供決策依據。方法用夜夾法佈夾鑑測鼠密度、鼠種；採集鼠腎做鉤耑螺鏇體培養及鑒定；採集健康人群血清用顯微鏡凝結實驗（MAT）進行抗體測定。結果7箇區縣報告鉤體病例41例，年均髮病率0.18/10萬；健康人群血清500人份，鉤體病抗體暘性率31.0%；佈鼠夾10207夾次，捕穫野鼠140隻，鼠密度為13.7‰，黑線姬鼠51隻佔比為36.4%、褐傢鼠33隻佔比為23.6%、小傢鼠31隻佔比為22.1%；鼠腎培養111隻，培養齣鉤耑螺鏇體5株，帶菌率4.5%，黑線姬鼠4隻帶菌，佔比為80%。結論2010—2014年四川省宜賓市鉤耑螺鏇體病處于較低水平，疫情均為散髮，健康人群抗體水平齣現下降，鑑測點野鼠密度較低，優勢鼠種以黑線姬鼠、褐傢鼠和小傢鼠為主，黑線姬鼠鉤耑螺鏇體帶菌率較高。
목적：통과2010—2014년사천성의빈시구단라선체병역정급감측분석，탐토의빈시구단라선체병류행적위험관건공제점，위제정방공조시제공결책의거。방법용야협법포협감측서밀도、서충；채집서신주구단라선체배양급감정；채집건강인군혈청용현미경응결실험（MAT）진행항체측정。결과7개구현보고구체병례41례，년균발병솔0.18/10만；건강인군혈청500인빈，구체병항체양성솔31.0%；포서협10207협차，포획야서140지，서밀도위13.7‰，흑선희서51지점비위36.4%、갈가서33지점비위23.6%、소가서31지점비위22.1%；서신배양111지，배양출구단라선체5주，대균솔4.5%，흑선희서4지대균，점비위80%。결론2010—2014년사천성의빈시구단라선체병처우교저수평，역정균위산발，건강인군항체수평출현하강，감측점야서밀도교저，우세서충이흑선희서、갈가서화소가서위주，흑선희서구단라선체대균솔교고。
Objective To pass the 2010-2014, Yibin leptospira diseases and monitoring analysis, explore the Yibin lep-tospirosis epidemic in danger of critical control points, to provide decision basis for the prevention and control measures. Methods With night method cloth clip to monitor mouse density, mouse; Acquisition rat kidney do leptospira training and appraisal; Healthy crowd collected serum microscope (MAT) antibodies determined condensation experiments. Results 7 counties reports hook cases, 41 cases an annual incidence of 0.18/10; Healthy crowd serum 500 doses, hook disease anti-body positive rate of 31.0%; Cloth mousetrap 10207 times, 140 capture rats, the rat density was 13.7 ‰, the black rat her 51 only 33 accounted for only 36.4%, brown mice than 31 accounted for only 23.6%, mice than 22.1%; Rat renal 111 cul-ture, cultivate leptospira 5 strains, the carrier rate is 4.5%, the black kyi rat four pathogen, accounted for 80%. Conclusion Leptospirosis, yibin city in recent years at lower levels, outbreaks are distributed, healthy crowd antibody levels fall, moni-toring rats density is low, advantage of is given priority to with the black thread kyi rats, brown rats and mice, the black rat her leptospira carrier rate is higher, the grassroots medical staff to hook the diagnosis and treatment of body disease remains to be further improved, still need to strengthen the sense of the masses of prevention hook, partial of the risk of hook dis-ease outbreaks should continue to strengthen prevention and control.
