摘要
目的探究"三位一体"管理模式对阿克苏地区布病急性期患者诊疗与转归的影响,为进一步做好该地区布病防治工作提供参考。方法于2019年1月至2019年8月选择阿克苏市拜城县、阿瓦提县两个县作为样本采集点。每个县在东、西、南、北、中取五个乡作为监测点。每个乡随机采集500人的血液样本,并对其进行问卷调查。结果阿克苏市拜城县、阿瓦提县共检测出阳性布病病例89例,发病率为3.56%。其中男性70例,女性19例,年龄主要集中在20-50岁之间,共66例,占74.16%。畜羊养殖户和畜产品接触人群占筛查阳性数的94.38%,阳性布病病例主要集中在养殖户和畜产品接触人群。拜城县、阿瓦提县两县共追踪130例布病治疗病例,其中阿瓦提县50例,拜城县80例。阿瓦提县无病例在乡镇医院就诊,规范治疗率、及时就诊率、持续治疗率、放弃治疗率均为0.00%。拜城县的规范治疗率、及时就诊率、持续治疗率均明显高于阿瓦提县,放弃治疗率明显低于阿瓦提县,两县各级医疗机构在规范治疗率、及时就诊率、持续治疗率、放弃治疗率上比较差异有统计学意义(P<0.05)。拜城县的治愈率为70.00%,明显高于阿瓦提县(28.00%),两县区各级医疗机构在复发率、无效治疗率以及误诊率上比较差异无统计学意义(P>0.05)。结论阿克苏地区布鲁杆菌病阳性病例主要集中在养殖户和畜产品接触人群。拜城县积极推行"三位一体"管理模式后,布病患者基本上实现就近规范化诊治,疫情得到了有效控制,值得积极推广实行。
Objective To research the influence of "Trinity" management mode on the diagnosis, treatment and prognosis of patients with brucellosis in acute stage in Aksu area, which provides reference for further prevention and treatment of brucellosis in this area.Methods From January 2019 to August 2019, Baicheng county and Awati County in Aksu City were selected as sample collection points.Five townships in the East, West, South, North and middle of each county were taken as monitoring points.Blood samples of 500 people were randomly collected from each township.Results A total of 89 positive brucellosis cases were detected in Baicheng County and Awati County of Aksu City, with an incidence of 3.56%.Among them, there were 70 males and 19 females, aged mainly between 20 and 50 years old, with 66 cases(74.16%).Livestock and sheep farmers and livestock products contact people accounted for 94.38% of the positive screening, positive brucellosis cases mainly concentrated in farmers and livestock products contact people.A total of 130 cases of brucellosis were tracked in Baicheng County and Awati County, 50 cases were in Awati County and 80 cases were in Baicheng County.There were no cases in Awati County in township hospitals.The standardized treatment rate, timely treatment rate, continuous treatment rate and abandonment rate were all 0.00%.The standard treatment rate, timely treatment rate and continuous treatment rate in Baicheng County were significantly higher than those in Awati County, and the rate of abandonment of treatment was significantly lower than that in Awati County.There were significant differences in the rate of standard treatment, timely treatment rate, continuous treatment rate and abandonment rate between the two counties(P<0.05).The cure rate in Baicheng County was 70.00%, which was significantly higher than that in Awati County(28.00%).There was no significant difference in recurrence rate, ineffective treatment rate and misdiagnosis rate between the two counties and districts(P>0.05).Conclusion Brucellosis positive cases in Aksu area are mainly concentrated in farmers and people who contacted livestock products.After the " Trinity" management mode was actively implemented in Baicheng County, the patients with brucellosis basically realized standardized diagnosis and treatment nearby, and the epidemic situation was effectively controlled, which is worth actively promoting.
作者
赵征莲
唐爱民
ZHAO Zheng-lian;TANG Ai-min(Aksu Center for Diseases Control and Prevention,Xinjiang,843000 China)
出处
《中国地方病防治》
CAS
2020年第1期70-71,79,共3页
Chinese Journal of Control of Endemic Diseases
基金
探索布鲁杆菌病在阿克苏地区人群高发的成因及影响其转归、控制因素。
作者简介
通讯作者:赵征莲(女),本科,中级实验师,地方病科相关疾病的防控及其实验室检测,E-mail:zvf7wp@163.com。
