目的 了解沂源县恙虫病发生规律,减少恙虫病漏诊误诊,提高预防控制水平。方法 采用描述流行病学的方法,对2014~2017年沂源县恙虫病病例资料进行分析。结果 沂源县恙虫病男性患者占62.8%,女性患者占37.2%;36~45岁为恙虫病高发年龄段,占41.0%;10月份发病最多,占45.5%。主要临床表现是患者均有发热症状;90.4%的患者有特异性皮肤焦痂或溃疡;81.4%的患者表现淋巴结肿大。结论 做好秋季自然疫源性疾病防控的健康教育,加强青壮年人群野外活动的防护,提高临床医师对恙虫病鉴别诊断,是沂源县恙虫病防治的关键。

Objective To understand the occurrence regularity of tsutsugamushi disease in Yiyuan County, reduce misdiagnosis of tsutsugamushi disease and improve the level of prevention and control. Methods Descriptive epidemiology was used to analyze the data of tsutsugamushi disease in Yiyuan County from 2014 to 2017. Results In Yiyuan County, 62.8% of tsutsugamushi patients were male and 37.2% were female,36-45 years old was the age group with high incidence of tsutsugamushi typhus, accounting for 41.0%. Most tsutsugamushi disease cases occurred in October, accounting for 45.5%. The main clinical manifestations were patients with fever symptoms,90.4% of patients had specific skin irritations or ulcers, 81.4% of patients showed lymphadenopathy. Conclusion The key to prevention and control of tsutsugamushi disease in Wuyuan County is to strengthen the health education of natural epidemic diseases in autumn, to strengthen the protection of wild activities of young and middle-aged people, and improve the differential diagnosis of tsutsugamushi by clinicians.