新疆布鲁菌病117例临床分析

Clinical analysis of 117 patients with brucellosis in Xinjiang Uyghur Autonomous Region

目的探讨新疆维吾尔自治区(新疆)布鲁菌病的流行情况、临床特征、实验室检查及治疗结果。方法回顾性分析我院2012年7月—2014年4月收治的117例布鲁菌病的临床特征及治疗效果。结果本地区布鲁菌病以4—9月高发,发病人群以畜牧相关人员为主。主要临床表现除发热、多汗、乏力、关节痛等一般症状外,肝脾大和淋巴结肿大也占一定比例,部分患者ALT、AST和GGT升高。治疗以多西环素联合利福平为主,好转率为97.44%。结论布鲁菌病为新疆地区发病率较高的传染病,当地有关部门应普及该病防护知识,临床医师应关注该病的临床特点及其并发症和合并症,并给予规范的抗菌治疗。

Objective To investigate the prevalence, clinical characteristics, laboratory findings and treatment outcome of brucellosis in Xinjiang Uyghur Autonomous Region（Xinjiang）. Methods Clinical characteristics and therapeutic efficacy were analyzed in117 patients with brucellosis admitted to our hospital from Jul. 2012 to Apr. 2014. Results The incidence of brucellosis was higher from April to September in Xinjiang and brucellosis mainly occurred in livestock-related personnel. The main clinical manifestations were fever,sweating, fatigue and joint pain, and hepatosplenomegaly and lymph node enlargement were found in some patients. ALT, AST and GGT increased in some patients. The combination of doxycycline and rifampin achieved a high improvement rate（97.44%）. Conclusions Bru-cellosis is a more frequent infectious disease in Xinjiang, so local authorities should strengthen public education on brucellosis prevention and management, and clinicians should pay much attention to the clinical characteristics of brucellosis and its complications and comorbidities, and give standard antimicrobial therapy.