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目的探讨锡林浩特市布鲁氏菌病的人群分布特征、临床特征、就诊规律及其对愈后的影响。方法在2436人的门诊就诊记录中,依据中华人民共和国卫生行业标准(WS269-2007)《布鲁氏菌病诊断标准》诊断的266例确诊新发病人,进行统计学分析。结果①该地区布鲁氏菌病以25～45岁的青壮年多发,男性高于女性;②职业以牧民为主,其次为从事畜产品收购加工的个体经营者;③发病高峰集中在5～8月份;④临床症状以发烧、出汗、肌肉关节疼、肢体乏力和头痛等症状为主,其中头痛症状的病人明显增多;⑤80%以上的病人在发病当月及时就诊,仍有不到20%的病人在3个月内没有及时到正规医疗机构治疗。结论病人如果不及时检查治疗,就很有可能由于发病-就诊间隔时间的延长,错过了最佳治疗时期,变成慢性布病病人。
Objective To investigate the distribution characteristics, clinical characteristics, the rules of visiting and the impact on the prognosis of brucellosis in Xilinhot City. Methods A total of 266 outpatients diagnosed newly diagnosed patients diagnosed according to the diagnostic criteria of Brucellosis from Health Industry Standard (WS269-2007) of the People’s Republic of China were analyzed statistically in 2436 outpatient visits. Results (1) Brucellosis occurred frequently in 25-45 year-old young adults in this area, male was higher than female; (2) Occupation was dominated by herdsmen, followed by self-employed persons engaged in the acquisition and processing of animal products; (3) August; ④ clinical symptoms of fever, sweating, muscle and joint pain, limb weakness and headache and other symptoms, of which patients with headache symptoms significantly increased; ⑤ 80% of patients in the onset of the month of timely treatment, there are still less than 20% Of patients did not receive regular medical treatment within 3 months. Conclusion If the patient does not check the treatment in time, it is most likely to miss the optimal treatment period due to the onset of the extended interval of treatment and become a chronic brucellosis patient.