布鲁菌病77例临床特征分析

Clinical characteristics analysis of 77 patients with brucellosis

目的:探讨桂林地区布鲁菌病的流行情况、临床特征及易感人群,为布鲁菌病的诊治提供依据。方法:分析77例布鲁菌病的临床特征,采用描述性研究方法对调查对象进行流行特征分析。结果:77例布鲁菌病患者中男女比例为1.96∶1,41~60岁的中年人发病率最高,发病高峰期出现在4~9月份,从事养殖的农民是主要的感染者。患者临床特征表现为发热、多汗、乏力、关节痛、肌肉痛、腰痛、生殖系统病变等。首诊科室以呼吸内科、风湿免疫科和感染性疾病科为主。结论:布鲁菌病的流行存在明显的年龄、性别和季节上的差异,患者临床表现复杂多样,并发症多,容易出现误诊。

Objective:To investigate epidemiology, clinical characteristics and susceptible population of patients with brucellosis in Guilin, and to provide the basis for the diagnosis and treatment of brucellosis. Methods: Clinical characteristics were analyzed in 77 patients with brucellosis. The epidemiological features of investigation objects were analyzed by the descriptive research method. Results:In 77 brucellosis patients, the ratio of male to female was 1.96∶1. The highest peak incidence appeared in April to September, and middle-aged people aged 41 to 60 years, farmers engaged in farming was the main infection case. The clinical features of the patients were fever, hyperhidrosis, fatigue, joint pain, muscle pain, lumbago, reproductive system diseases, etc. Patients were initially the respiratory department, rheumatoid immunology department and infectious diseases department. Conclusion:There are obvious age, sex and seasonal differences of brucellosis which has a diverse clinical manifestation and complication, and it is easy to be misdiagnosed.