某地区羌虫病的临床与流行病学分析

The clinical and epidemiological analysis about tsutsugamushi disease in Baise

目的探讨百色地区羌虫病的临床流行病学特征,为防治提供依据。方法选取2011年6月至2012年6月羌虫病患者138例,按照1∶3比例选取对照调查羌虫病的危险因素。即调查每一个病例的同时,调查3个职业、性别、年龄相同的健康者作为对照,评价影响该地区羌虫病复发的危险因素。结果农民为易感人群,患者发热100.00%,头痛81.16%,皮疹69.57%,特异性焦痂65.94%,寒战58.70%,结膜充血49.28%,淋巴结肿大47.10%。外出、野外劳作与居住环境,玉米地劳动（OR=1.109,95%CI1.075~1.146）、红薯地劳动（OR=1.860,95%CI1.721~2.027）为危险因素。洗澡（OR=1.769,95%CI 1.420~2.115）、换衣服（OR=6.447,95%CI1.826~22.769）、扎紧袖口和裤脚口（OR=1.863,95%CI1.709~2.051）是主要的防护因素。结论玉米地和红薯地劳动是羌虫病发病的危险因素;洗澡、换衣服、扎紧袖口和裤脚口是其主要的防护措施。

Objective To analyze the clinical and epidemiological features of tsutsugamushi disease in Baise and to provide reference for prevention of tsutsugamushi disease in Baise.Methods 138 cases patients infected tsutsugamushi disease in Baise from June 2011 to June 2012 were collected as the expermental group.The control group（3×138cases,using individual matching：1∶3ratio）was same to the expected group in sex,age and residents.Risk factors of tsutsugamushi disease in Baise were evaluatedResults Farmers were the vulnerable groups,100.00% patients was fever,headache 81.16%,rash 69.57%,specificity 65.94% eschar,chills 58.70%,conjunctival congestion,49.28%,47.10% lymph node enlargement.To go out,field labor and living conditions,such as the labor in corn（OR=1.109,95%CI1.075-1.146）or sweet land of labor（OR=1.860,95%CI1.721-2.027）were risk factors.Bathing（OR=1.769,95%CI1.420-2.115）,clothes（OR=6.447,95%CI1.826-22.769）,fastened cuffs and hem（OR=1.863,95%CI1.709-2.051）were the major protective factor to tsutsugamushi disease.Conclusion Labol in corn and sweet potatoe was the risk factors of scrub typhus.Bathing,changing clothes,tie cuffs and hem were the major protective factor.