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目的了解新疆塔城市布鲁氏菌病患病情况和发病趋势,为布鲁氏菌病患者的确诊提供可靠依据。方法采用血清学方法,包括虎红平板凝集试验(RBPT)、试管凝集试验(SAT)、抗人免疫球蛋白试验;布鲁氏菌病患者的诊断根据临床症状、体征以及流行病学接触史进行确诊。结果 2011—2013年共检测血清1 247份,虎红平板凝集试验阳性率8.02%,试管凝集试验阳性率4.65%;确诊布鲁氏菌病患者61例,患病率4.89%,2011、2012年布鲁氏菌病患病率间差异无统计学意义(χ2=0.06,P>0.05),2012与2013年布鲁氏菌病患病率间差异无统计学意义(χ2=42.74,P<0.05)。结论塔城市布鲁氏菌病患病率逐年升高,防控形势严峻,应加强健康教育,提高群众的防治知识知晓率,并教育群众提高个人防病意识。
Objective To understand the prevalence and trend of brucellosis in Tacheng, Xinjiang and provide a reliable basis for the diagnosis of brucellosis. Methods Serological methods including RBPT, SAT and anti-human immunoglobulin test were used. The diagnosis of brucellosis was based on clinical symptoms, signs and epidemiological exposure history Confirmed. Results A total of 1 247 serum samples were detected in 2011-2013, the positive rate of tiger red plate agglutination test was 8.02%, and the positive rate of test tube agglutination test was 4.65%. Among the 61 patients diagnosed with brucellosis, the prevalence was 4.89% The prevalence of brucellosis was not significantly different between the two groups (χ2 = 0.06, P> 0.05). There was no significant difference between the prevalence rates of brucellosis in 2012 and 2013 (χ2 = 42.74, P <0.05) ). Conclusion The prevalence of brucellosis in tower city is increasing year by year, and the prevention and control of the disease is grim. Health education should be strengthened to raise the awareness rate of people’s prevention and treatment knowledge and to educate the masses to raise awareness of individual prevention.