摘要
目的通过分析布鲁氏杆菌病实验室检测结果,了解布病的发病情况,预测流行趋势,为制定防治对策提供依据。方法对平顶山市门诊接诊的布病疑似患者进行血清学检测。按照《布鲁氏菌病诊断标准》执行,采用虎红平板凝集法初筛试验,结果阳性者,采用试管凝集试验作为确认试验,SAT 1:100++以上者为阳性。结果共检测布病可疑患者413例,阳性率30.75%(127/413);病例集中在3~7月,有明显的季节性分布特点;男性阳性率31.13%(94/302)与女性阳性率29.73%(33/111)差异无统计学意义(χ2=0.07,P>0.05);60~年龄组阳性率最高42.04%(37/88),不同年龄组阳性率的差异有统计学意义(χ2=13.40,P<0.05);以农民居多,阳性率最高33.68%(97/288),占阳性总数的76.38%(97/127);病人主要来源于鲁山县,占阳性总数的33.86%;阳性率最高的地区为叶县40.21%(39/97)。结论平顶山市布病发病呈逐年下降趋势,表明布病的防治取得了一定成效,需进一步加强布病防治知识的宣传力度,提高群众自我防护意识,采取综合性防治措施,保障人民群众身体健康。
Objective This paper aims to analyze the laboratory test results of Brucellosis,understand the incidence and predict the incidence trend of Brucellosis,and provide evidence for the development of prevention and control strategies.Methods Serological tests were conducted in suspected brucellosis patients in outpatients in Pingdingshan.According to the diagnosis standard of brucellosis,rose bengal plate agglutination test was used for preliminary screening.If the result was positive(above SAT 1:100++),the tube agglutination test was used as the confirmation test.Results A total of 413 suspected cases were detected,among which the positive rate was 30.75%(127/413).These cases were concentrated in March to July with obviously seasonal distribution characteristics.There was no statistically-significant difference(χ2=0.07,P>0.05)between the positive rate in males(31.13%,94/302)and the positive rate in females(29.73%,33/111).There was statistically-significant difference(χ2=13.40,P<0.05)among ages with the group aged 60-69 years having the highest positive rate at 42.04%(37/88).Among farmers,positive rate was 33.68%(97/288),and positive cases accounted for 76.38%(97/127)of the total positive cases.The cases were mainly from Lushan county,accounting for 33.86%of the total positive cases,while Ye county had the highest positive rate at40.21%(39/97).Conclusion The incidence of Brucellosis in Pingdingshan is decreasing year by year,which shows that the prevention and control of Brucellosis has achieved certain results.It is necessary to further strengthen the dissemination of the knowledge of brucellosis prevention and control,improve the self-protection awareness of people,and take comprehensive prevention and control measures to ensure the health of people.
作者
张晓琦
王延峰
岳伟玲
ZHANG Xiaoqi;WANG Yanfeng;YUE Weiling(Out-patient Department,Pingdingshan Center for Disease control and Prevention,,Pingdingshan,Henan 467000,China)
出处
《河南预防医学杂志》
2021年第2期164-166,共3页
Henan Journal of Preventive Medicine
关键词
布氏杆菌病
血清抗体
虎红平板凝集
试管凝集试验
Brucellosis
Serum antibody
Rose bengal plate agglutination
Tube agglutination test
