论文部分内容阅读
目的 分析玉溪市布鲁菌病(简称布病)流行病学和临床特点,为制定有效的防治策略提供依据.方法 回顾性调查玉溪市2008-2015年确诊的101例布病患者流行病学和临床特征,用EpiInfo 7.0和SPSS 17.0软件处理分析数据.结果 玉溪市布病新发病例数逐年增加,发病主要集中在4~8月,5月达最高峰;发病人群以中青年男性为主,职业主要以养殖人员居多(70.30%),93.07%的患者与羊有接触史;有76.24%的患者能在急性期得到治疗;临床表现主要为发热(多为不规则热)、乏力、多汗、肌肉痛和关节疼痛,可并发骨关节、肝脏、心肌和泌尿生殖等损坏,首诊误诊率为100%.结论 玉溪市布病危害严重,应该加强健康教育和行为干预,让群众了解布病的防治,提高个人防护意识;由于布病临床表现复杂多样,并发症多,易误诊,医师应加强对本病的认识,以提高诊疗水平.“,”Objective To understand and analyze the epidemiological and clinical characteristics of brucellosis in Yuxi,and provide evidence to effective prevention and control strategies.Methods The totals of 101 patients were investigated from 2008 to 2015,which were used EpiInfo 7.0 and SPSS 17.0 software to analyze epidemiological and clinical characteristics.Results The brucellosis were increased year by year,and mainly attacked concentrated from April to August,Peak in May.The prevalence population was occurring among young and middle-aged men.The primary Occupation was poultry feeders (70.30%),and the 93.07% of patients have contact with sheep.There were 76.24% of the patients could get treatment in acute stage.Clinical manifestations mainly were fever (mostly irregular fever),fatigue,sweaty,muscle pain and joint pain,even concurrented damages of joint,liver,myocardium,uropoiesis and reproduction.The misdiagnosed rate was 100%.Conclusion The brucellosis was very serious in Yuxi.It should strengthen the health education and behavior intervention,and let people know more knowledge on brucella personal protection.Due to brucella complex and varied clinical manifestations,complications and misdiagnosis,the physician should strengthen the understanding of the disease and then improve the diagnosis and treatment level.