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目的了解浙江省人群莱姆病感染状况。方法血清流行病学调查,间接免疫荧光抗体试验(IFAT)和酶联免疫吸附试验(ELISA)检测血清抗体。结果2000～2004年调查浙西开化和浙中天台林场工人、经常上山作业的农民和可疑病人共1120人,男性616人,女性504人,血清抗体IgG阳性者1人,阳性率为0.1%。浙南丽水市检测人群血清516份,阳性者46人,阳性率8.99%。其中男性273人,阳性26人,阳性率9.5%;女性229人,阳性20人,阳性率8.7%。结论浙江省人群存在莱姆病感染,很可能存在莱姆病自然疫源地,有待进一步调查证实。
Objective To understand the status of Lyme disease in Zhejiang Province. Methods Serum antibodies were detected by serological epidemiology, IFAT and ELISA. Results From 2000 to 2004, a total of 1120 peasants and suspicious patients were surveyed in Kaihua, Zhejiang Province and Tiantai Forest Farm in Zhejiang Province. There were 1120 peasants and suspicious patients, 616 were males and 504 were females, one was positive for serum IgG. The positive rate was 0.1%. There were 516 serum samples detected in Lishui City, southern Zhejiang Province, 46 were positive, the positive rate was 8.99%. Among them, there were 273 males, 26 were positive, the positive rate was 9.5%, 229 were females, 20 were positive and the positive rate was 8.7%. Conclusion There is Lyme disease infection in Zhejiang population, and it is possible that there is a natural foci of Lyme disease, which needs further investigation and confirmation.