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目的:了解贵州省都匀市亚洲带绦虫病流行现状、流行因素及流行环节,掌握流行特征,为制定防治措施提供科学依据。方法:选择亚洲带绦虫病流行的9个村寨开展流行病学调查,详细记录患者的临床症状和排节片史并进行驱虫治疗。结果:病史访问3273人,近期排节片者88人,总感染率为2.69%,最小感染年龄为5岁,最大76岁,青壮年男性患者居多,以4l～50岁年龄组感染率最高,为4.23%;男性感染率为5.31%,女性感染率0.29%,差异有显著性(P<0.01);布依族感染率为3.26%,高于其他民族;职业分布以屠户最高,为46.88%。饮食习惯调查,生食猪肝者感染率16.16%显著高于不生食猪肝者(0.67%)。患者临床症状以排节片、腹部不适、肛门瘙痒、恶心、腹泻等为主。结论:都匀亚洲带绦虫病流行区,居民主要因生食猪肝感染,新近感染者占多数。患者临床症状与传统牛带绦虫病相似。询问排节片史可作为诊断该病的重要依据。通过改变施肥方式和饮食习惯可有效控制亚洲带绦虫病流行。
OBJECTIVE: To understand the prevalence, prevalence and prevalence of taeniasis in Dujian City, Guizhou Province, master the epidemiological features and provide a scientific basis for making prevention and control measures. Methods: Epidemiological investigation was carried out in 9 villages with taeniasis epidemic in Asia. The clinical symptoms and history of the patients were recorded in detail and treated with deworming treatment. Results: A total of 3273 medical records were interviewed and 88 patients were discharged in the near future. The total infection rate was 2.69%. The minimum infection age was 5 years old and the maximum was 76 years old. Most of the male patients were young and old, (4.23%). The infection rate of males was 5.31% and the infection rate of females was 0.29% (P <0.01). The Buyei infection rate was 3.26%, higher than other ethnic groups. Dietary habits survey, raw pig liver infection rate was 16.16% significantly higher than non-eating pig liver (0.67%). Clinical symptoms of patients with row films, abdominal discomfort, itching of the anus, nausea, diarrhea and other mainly. CONCLUSION: Duyun is endemic to Taenia asiatica in Asia. Most residents are newly infected due to raw liver infection. The patient’s clinical symptoms are similar to the traditional taeniasis. Inquire about the history of film can be used as an important basis for the diagnosis of the disease. By changing the mode of fertilization and eating habits can effectively control the Asian taeniasis epidemic.