摘要
目的分析青海省2014年布鲁菌病（简称布病）监测结果，掌握人间布病的地区、人群、职业分布情况。方法依据2014年“中央转移地方公共卫生资金补助项目一青海省人间布鲁杆菌病防治实施细则”，在青海省选择9个县1个市开展人间布病调查，重点调查与牲畜及其产品接触密切的重点人群。采用虎红平板凝集试验（RBPT）和试管凝集试验（SAT）进行布病抗体检测，根据《布鲁杆菌病诊断标准》（WS269．2007）进行诊断。结果在9个县1个市共检测3083人，感染人数为96人，感染率为3．11％，患病人数为46人，患病率为1．49％。确诊新发病例46例。感染率和患病率，其性别、年龄分布差异均无统计学意义（X2=1．766、2．236、11．053、10．160，P均〉0．05）；职业分布以牧民为主，占73．91％（34／46）；民族分布以藏族为主，占73．9l％（34／46）。除玛沁县未出现患病病例外，其余县市均有患病。结论青海省局部地区人间布病疫情仍然活跃，应加强对重点人群的健康教育宣传和职业干预，提高自我的防控能力；对感染者和患者高发地区需要进一步开展传染源及危险因素的调查分析，逐步控制青海省人间布病疫情的发生。
Objective We analyzed the epidemiological survey results of brucellosis in Qinghai Province to study the distribution of area, population and occupation of brucellosis in human. Methods In accordance with ＂The Project of Central Tansfer Local Public Health Funds-Detailed Rules for Human Brucellosis Control in Qinghai Province＂ in 2014, one city and 9 counties were chosen to carry out the human brucellosis investigation which focused on the people closely contacted with animals and their produces in Qinghai Province; then serological test was done with the methods of Rose Bengal plate agglutination test （RBPT） and standard tube agglutination test （SAT）; diagnosis was based on ＂Diagnostic Criteria for Brucellosis＂ （WS 269-2007）. Results A total of 3 083 people in the 9 counties and 1 city were investigated; totally infected people was 96, the infection rate was 3.11%; the number of patients was 46, and the prevalence rate was 1.49%. Forty-six new cases were confirmed. The gender, age distributions of the infection rate and prevalence rate were not significantly different （X2 = 1.766, 2.236, 11.053, 10.160, all P 〉 0.05）. The occupational distribution： pastoralist was the highest, accounting for 73.91% （34/46）; ethnic distribution： Tibetan was the highest, accounting for 73.91% （34/46）. In addition to Maqin, other counties had brucellosis patients. Conclusions Prevalence of human brucellosis in Qinghai Province is active in some local areas. We should strengthen health education and professional intervention in occupational populations; to improve people＇s ability in prevention and control of the disease, further investigation and analysis of the source of infection and risk factors in areas where infected persons and patients on the rise are needed, and make progress in control of human brucellosis outbreaks in Qinghai Province.
出处
《中华地方病学杂志》
CAS
CSCD
北大核心
2016年第8期613-615,共3页
Chinese Journal of Endemiology
基金
基金项目：国家自然科学基金（81160355）
关键词
布鲁菌病
监测
分析
Brucellosis
Monitoring
Analysis
