中国媒介生物学及控制杂志

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湖南省平江县莱姆病调查研究

黄振宇1;侯学霞2;万康林2   

  1. 1湖南省平江县人民医院414000;2中国预防医学科学院流行病学微生物学研究所
  • 出版日期:2001-08-20 发布日期:2001-08-20

An Investigation of Lyme Disease in Pingjiang County,Hunan Province,China

HUANG Zhen-yu*; HOU Xue-xia; WAN Kang-lin   

  1. The People's Hospital of Pingjiang County, Hunan Province 414000
  • Online:2001-08-20 Published:2001-08-20

摘要: 目的:调查湖南省平江县莱姆病的分布情况。方法:采用间接免疫荧光抗体法和直接荧光抗体染色法,于1999~2000年在平江县选点调查。结果:共查山林地区居民500人,血清抗莱姆病螺旋体抗体(IgG)阳性者32人,阳性率6.40%。38例临床和血清学确诊的莱姆病患者,其主要的临床表现有环形或慢性游走性红斑、关节炎、面神经麻痹、多发性神经炎、脑膜炎和心脏损害等。当地的蜱类以二棘血蜱为优势种,占85%,该蜱中肠携带莱姆病螺旋体率为12.0%(650)。结论:平江县存在莱姆病的自然疫源地,人群中有莱姆病的发生和流行。

关键词: 莱姆病, 莱姆病螺旋体, 二棘血蜱

Abstract: Objective:To make a clear idea of the infective condition and distribution of Lyme disease in Pingjiang county,Hunan province.Methods:By means of IFA and DFA from 1999 to 2000 serological and epidemiological investigations were conducted.Results:The sera of 500 forest residents were tested for antibodies against Borrelia burgdorferi(strain B31),32(6.40%) residents had significant IgG titers.38 cases,including Erythema Chronicum Migrans,arthritis,facial paralysis,polyneuritis,mengitis and cardiac abnormalities,were confirmed being Lyme disease by serological and clinical examination.Spirochetes were observed in midguts of 12.0% of 50 Haemaphysalis bispinosa in this area by Direct immunofluorescence test.Conclusion:The results showed that there is a nature focus of Lyme disease in Pingjiang county.