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对甘肃省莱姆病患者进行了临床流行病学调查。通过血清学、病原学、体格检查和流行病学资料分析,确诊莱姆病患者104例。地理分布以迭部地区病例数最多,张掖和武威次之,酒泉居第三位,其余地区病例数较少。女性病例数略多于男性,以青壮年病例数最多。晚期病例数占发病总数的57.69%,中期病例占37.51%,早期病例占4.8%。104例患者分属10型,即慢性游走性红斑(ECM)型5例,妇科型1例,淋巴型6例,神经型11例,消化型8例,心血管型7例,肺型3例,眼睑型3例,关节型59例,皮肤型1例,以关节型最多,占发病总数56.73%。依据患者的病程、病型和脏器损伤程度,给予了抗菌素、化疗、针灸和支持对症治疗,均取得满意效果。
A clinical epidemiological investigation was conducted on patients with Lyme disease in Gansu Province. Through the serological, etiological, physical examination and epidemiological data analysis, confirmed Lyme disease in 104 cases. The geographical distribution is the largest in Diebu area, followed by Zhangye and Wuwei, and the third in Jiuquan. The rest areas have a smaller number of cases. The number of female cases is slightly more than that of males, with the highest number of young adults. The number of late cases accounted for 57.69% of the total number of cases, medium-term cases accounted for 37.51%, early cases accounted for 4.8%. The 104 patients were classified into 10 types, namely 5 cases of chronic migratory erythema (ECM) type, 1 case of gynecology type, 6 cases of lymphoid type, 11 cases of neurological type, 8 cases of digestion type, 7 cases of cardiovascular type and 3 cases of pulmonary type 3 For example, there were 3 cases of eyelid type, 59 cases of joint type and 1 skin type, with the most joint type, accounting for 56.73% of the total. According to the patient’s course, type and organ damage, given antibiotics, chemotherapy, acupuncture and symptomatic treatment support, have achieved satisfactory results.