104例莱姆病临床流行病学调查

STUDIES ON CLINICAL EPIDEMIOLOGY OF 104 CASES OF LYME DISEASE

对甘肃省莱姆病患者进行了临床流行病学调查。通过血清学、病原学、体格检查和流行病学资料分析，确诊莱姆病患者１０４例。地理分布以迭部地区病例数最多，张掖和武威次之，酒泉居第三位，其余地区病例数较少。女性病例数略多于男性，以青壮年病例数最多。晚期病例数占发病总数的５７．６９％，中期病例占３７．５１％，早期病例占４．８％。１０４例患者分属１０型，即慢性游走性红斑（ＥＣＭ）型５例，妇科型１例，淋巴型６例，神经型１１例，消化型８例，心血管型７例，肺型３例，眼睑型３例，关节型５９例，皮肤型１例，以关节型最多，占发病总数５６．７３％。依据患者的病程、病型和脏器损伤程度，给予了抗菌素、化疗、针灸和支持对症治疗，均取得满意效果。

 The studies on clinical epidemiology of 104 cases of Lyme disease, made by authors from 1991 to 1996,were reported in this paper. 104 patients infected with Lyme disease were precisely diagnosed through tests of serology, etiology, physical examination and epidemiology. Many patients were distributed in Diebu Forest Area, fewer were respectively distributed in Zhangyie, Wuwei, Jiuquan and other districts. This disease occurred mainly in young people. The female patients were more than the males. In clinical features, the incidence of late-term, mid-term and early cases was 57.69%, 37.51%, and 4.8% respectively. According to the types of the disease infected, 5 cases were of erythema chronicum migrans (ECM), 1 case of gynecological type, 6 cases of lymphatic type, ll cases of nervous type, 8 cases of digestive type, 7 cases of cardio-vascular type, 3 cases of pulmonary type, 3 cases of eyelid type, 59 cases of joint type, and l case of skin type. It was obvious that Lyme disease cases of joint type occupied the majority, accounting for 56.73% of the total number. According to the course and type of the disease and the degree of visceral damage, 104 cases of Lyme disease were treated with antibiotics, chemo-therapy, acupuncture and maintenance therapy, and proved to have good effects.