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目的研究2010年-2014年三门峡市、平陆县人间布鲁菌病流行病学状况。方法对近5年到三门峡市进行布鲁菌病诊断者进行流行病学调查和分析。结果经调查发现2010年-2014年三门峡市和平陆县布病年检出率分别为48.85%、27.06%、42.39%、41.54%、34.71%,总体差异有统计学意义(χ~2=47.666,P=0.000)。5年总发病高峰位于3月-9月,年龄主要分布于20岁~69岁。近5年该市、县布鲁菌病患者的主要临床症状与体征依次为发烧、困乏、关节或肌肉痛、纳差、多汗、头痛、失眠。该病主要传播途径依次为养羊、养牛、养猪、养狗、宰羊、厨师。结论位于晋陕豫黄河金三角内三省交界处的三门峡市及平陆县,近5年布鲁菌病流行状况不容乐观,三省应继续联防联控共同降低布鲁菌病的流行。
Objective To study the epidemiology of human brucellosis in Sanmenxia and Pinglu counties from 2010 to 2014. Methods In the past 5 years to Sanmenxia City brucellosis diagnosed by epidemiological investigation and analysis. Results The survey found that the annual detection rates of brucellosis in Sanmenxia City and Pinglu County in 2010-2014 were 48.85%, 27.06%, 42.39%, 41.54% and 34.71%, respectively. The overall differences were statistically significant (χ ~ 2 = 47.666, P = 0.000). 5-year total peak incidence in March-September, the age mainly in the 20 to 69 years old. In the recent 5 years, the main clinical symptoms and signs of brucellosis patients in this city and county were fever, sleepyness, joint or muscle pain, anorexia, hyperhidrosis, headache and insomnia. The disease is the main route of transmission sheep, cattle, pigs, dogs, slaughter sheep, chef. Conclusions Located in Sanmenxia and Pinglu counties at the junction of Shanxi, Shaanxi and Henan Yellow River Golden Triangle provinces, the prevalence of brucellosis in the past five years is not optimistic. The three provinces should continue joint prevention and control together to reduce the prevalence of brucellosis.