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目的：查明湖北省人群莱姆病感染情况。方法：间接酶联免疫吸附试验、莱姆病血清流行病学调查。结果：从１１９２人中检出阳性１５２份，排除钩体ＭＡＴ阳性３０份，实际莱姆病ＩｇＧ抗体阳性１２２份，阳性率１０．４９％（１２２／１１６２）。其中五峰县１４．３９％，南漳县９．９２％，保康县７．１２％。男性阳性率１０．７１％，女性阳性率９．９４％，性别间差异无显著性。人群年龄为９～６８岁，２０～４０岁青壮年感染阳性率最高。不同职业人群感染率，农民８．９３％，林业工人１３．６５％，学生３．５７％。人群蜱叮咬率为５．９２％。有蜱叮咬史者莱姆病阳性率高达５６．７１％；而无明确蜱叮咬史者阳性率仅为７．６７％。确诊莱姆病关节炎４例。结论：湖北省人群中有莱姆病的感染存在，并有莱姆病发生。
Objective: To identify the population of Lyme disease in Hubei Province. Methods: Indirect ELISA and Serum Epidemiological Survey of Lyme Disease. Results: 152 positive samples were detected from 1,192 individuals, excluding 30 MAT positive specimens of leptospirosis. The actual IgG antibodies of Lyme disease were 122 positive and the positive rate was 10.49% (122/1162). Among them, Wufeng County accounted for 14.39%, Nanhang County 9.92% and Baokang County 7.12%. The positive rate of males was 10.71%, the positive rate of females was 9.94%. There was no significant difference between males. The population age is 9 to 68 years old, 20 to 40 years of young adults the highest positive rate of infection. Infection rate of different occupational groups, 8.93% of farmers, forestry workers 13.65%, 3.57% of students. The population tick tick rate was 5.92%. There was a history of tick bite Lyme disease-positive rate as high as 56.71%; and no clear history of tick bites, the positive rate was only 7.67%. 4 cases of Lyme disease and arthritis confirmed. Conclusion: There is Lyme disease in the population of Hubei Province and Lyme disease occurs.