| 张哲夫,万康林,冯文祥,王梦祥,朱桂凤,尚振忠,张金声,王宏英,纪智慧,霍秋波.牡丹江林区莱姆病分布的地理特点[J].Chinese journal of Epidemiology,1991,12(3):154-157 |
| 牡丹江林区莱姆病分布的地理特点 |
| Geographic Distribution of Lyme Disease in Mudanjiang |
| Received:February 18, 1990 Revised:October 26, 1990 |
| DOI： |
| KeyWord: 莱姆病 莱姆病螺旋体 慢性游走性红斑 全沟硬蜱 |
| English Key Word: Lyme disease Lyme disease spirochetes ECM Ixodes persulcatus |
| FundProject:本课题由中华人民共和国卫生部科学研究基金资助 |
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| Abstract: |
1989年在牡丹江林区对4个不同地理地貌的林场进行了莱姆病的调查。在访问和检查的2 718人中,发现74例患者,其中54例是慢性游走性红斑,12例是神经系统损伤,8例是关节炎。从深山区到丘陵地均有莱姆病患者存在和发生。4个林场的患病率分布在11.6~45‰,深山区莱姆病的患病率明显高于丘陵地带。
从1例精神紊乱病人血液中分离到1株莱姆病螺旋体。
全沟硬蜱季节消长曲线和慢性游走性红斑病例曲线相一致,确证全沟硬蜱的媒介作用。 |
| English Abstract: |
Four forestry plant in Mudanjiang with different geographic characteristics were investigated in 1989.2178 people were inquired and examined. 74 cases including 54 of ECM, 12 of nervous system disorder and 8 of arthritis were confirmed as Lyme disease. There were some patients at other places of forest areas of Mudanjiang. The prevalance rate of Lyme disease ranged from 1% to 4.5% at four plants with higher rate in mountainous area than in hilly land.
It is first report that one strain of Lyme disease spirochetes was isolated from a patient with psychiatric derangement.
It proved that Ixodes persulcatus play the leading role in transmission of Lyme disease spirochetes, as the growth curve of Ixodes persul catus is coincident with that of the patient with ECM. |
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