安徽阜阳市87例恙虫病病例流行病学特征分析

Analysis of the epidemiological features on 87 cases of tsutsugamushi disease

目的分析恙虫病发病、就诊流行特征,为科学防控提供依据。方法对87例恙虫病病例开展流行病学调查。结果 87例病例中男性30例,女性57例;职业以农民为主,共76例,占87.35%。发病时间主要集中在10月份;首诊单位以村卫生室为主(57.47%),首诊疾病主要为感冒和发热待查(65.52%)。87例病例均有发热,焦痂58例(66.67%),其他主要症状为寒战(78.16%)、头痛(75.86%)以及皮疹(56.32%)。结论阜阳市恙虫病以农村劳动力发病为主,患者主要临床症状及体征为发热和特异性焦痂、寒战等。基层医疗机构恙虫病诊断能力较差。

Objective To analyze the epidemic and visit features of tsutsugamushi disease so as to provide evidence for scientific control. Methods Epidemiological survey was conducted on 87 tsutsugamushi disease cases. Results In 87 cases, there are 30 males and 57 females. The number of farmers occupied a large proportion of cases（87.35%）. The onset time is mainly concentrated in October. The first visit and first diagnosis disease were village clinic（57.47%） and cold, fever of unknown origin（65.52%） respectively. The main clinical manifestations were fever（100%）, scab（66.67%）, shivering（78.16%）, headache（75.86%） and skin rash（56.32%）. Conclusions The incidence of tsutsugamushi disease was major for rural labor. It has manifestations of fever, specific scab and shivering. The diagnostic ability for tsutsugamushi disease in primary medical institutions was poor.