布鲁杆菌病患者临床特征及发病季节的调查分析

Clinical features and morbidity season of brucellosis patients

目的分析新疆维吾尔自治区布鲁杆菌病（布病）流行病学特征,探讨预防布病的有效措施。方法选择2008~2013年于我院就诊的249例布病患者,统计并分析以上患者就诊时的临床症状与体征、年龄分布、就诊的时间与接触史情况。结果患者临床症状与体征以发热（92.4%）、肌肉痛（71.5%）和关节疼痛（68.3%）最为常见;年龄31~40岁（28.9%）、41~50岁（25.7%）、≥51岁（16.1%）;发病主要集中于3~7月的春季与夏季（73.9%）;以牛羊饲养员为多（65.9%）。结论布病发病率有逐年上升的趋势,应加强重点人群的监控,加强易感人群的宣传教育,以减少该病的发生。

Objective To analyze the epidemiological characteristics of brucellosis in Xinjiang Uygur Autonomous Region and make research on the effective measures to prevent the brucellosis. Methods We Collected 249 patients with brucellosis in our hospital from 2008 to 2013,the clinical symptoms and signs,age distribution,treatment time and history of exposure were analyzed. Results The signs of fever（ 92. 4%）,myalgia（ 71. 5%） and joint pain（ 68. 3%） were the most common symptom; the ages mainly from 31 to 40 years old（ 28. 9%）,41 to 50 years old（ 25. 7%） and older than 51（ 16. 1%）; the disease mainly ℃ curred from March to July in the spring and summer（ 73. 9%）; in the patients,cattle breeders were the most（ 65. 9%）. Conclusions At present there was an increasing incidence of brucellosis in China,in order to reduce the incidence of the disease it should strengthen the monitoring of focus groups as well as propaganda and education.