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目的了解济南市布病的流行规律及趋势,为采取科学有效的防治措施提供依据。方法对2004-2013年济南市网络报告的布病患者资料进行整理和回顾分析,资料内容包括人口学特征、就诊情况及病史等信息;分析指标包括发病率、地区分布、患者的性别、年龄等。结果 2004-2013年济南市累计报告布病312例,平均发病率为0.48/10万。不同年份发病率差异有统计学意义(P<0.05)。发病时间集中在2-9月,占83.01%(259/312);40~60岁年龄组发病最多49.04%(153/312);男女发病比例为2.35∶1,职业分布以农民为主85.58%(267/312);章丘市报告病例最多,占47.44%(148/312);2004-2013年聚集性疫情共50起,波及10个区县;发病-诊断时间中位数年均23.11d。结论济南市人间布病发病率呈逐年快速上升趋势。章丘市是济南市布病防治工作的重点。应采取综合措施进一步加强对布病的预防控制。
Objective To understand the epidemic rules and trends of brucellosis in Ji’nan city and provide the basis for taking scientific and effective preventive measures. Methods The data of brucellosis patients reported from Jinan City network from 2004 to 2013 were collated and analyzed retrospectively. The data included demographic characteristics, medical treatment and medical history, etc. The indicators included morbidity, geographical distribution, patient’s sex, age, etc. . Results A total of 312 cases of brucellosis were reported in Jinan from 2004 to 2013, with an average incidence of 0.48 / 100 000. The incidence of different years was statistically significant (P <0.05). The onset time ranged from February to September, accounting for 83.01% (259/312). The incidence in the 40-60 age group was up to 49.04% (153/312). The incidence of males and females was 2.35:1. The occupational distribution was 85.58% (267/312); Zhangqiu City reported the largest number of cases, accounting for 47.44% (148/312); from 2004-2013, there were 50 cases of aggregated epidemic spreading to 10 districts; the median incidence-diagnosis time was 23.11 days . Conclusion The incidence of brucellosis in Ji’nan City has been increasing rapidly year by year. Zhangqiu City, Jinan City, brucellosis prevention and control work is the focus. Should take comprehensive measures to further strengthen the prevention and control of brucellosis.