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目的 了解宁夏南部山区包虫病患者的分布情况及与性别、民族和职业间的关系。 方法 汇集南部山区 7家县医院住院确诊为包虫病患者的病案进行回顾性调查。 结果 包虫病患者分布于固原县 12个乡镇、海原县 2 2个乡镇、同心县 2 1个乡镇、西吉县 2 2个乡镇、彭阳县 13个乡镇 ,隆德县和泾源县各 1个乡有个案病例 ;1996~ 2 0 0 1年 7家县医院收治包虫病患者 94 1例 ,发病构成比女性 (6 3.6 6 % )明显高于男性 (36 .34% ) ,回族 (70 .0 3% )高于汉族 (2 9.97% ) ;不同职业人群包虫病患者中农民为高发人群 ,占 75 .0 3% ,其次为学生 (17.5 3% ) ,干部和工人较低 ,各占 3.72 % ;棘球蚴寄生以肝脏为多发部位 ,占 78.85 % ,其次为肺脏 (11.37% )和多脏器同时寄生者 (6 .5 9% ) ;棘球蚴感染发病年龄主要是11~ 4 0岁的中青年 ,占总病例数的 80 .76 % ,5 0岁以上者逐渐减少。 结论 包虫病在宁夏南部山区 5县 90个乡镇普遍流行 ,农民为高发人群。男女、回族与汉族之间发病构成比存在一定的差异。
Objective To understand the distribution of echinococcosis in mountainous areas of southern Ningxia and its relationship with gender, ethnicity and occupation. Methods A retrospective investigation was made on the medical records of patients diagnosed as hydatid disease in 7 county hospitals in southern mountainous areas. Results Echinococcosis patients were distributed in 12 villages and towns in Guyuan County, 22 townships in Haiyuan County, 21 townships in Tongxin County, 22 townships in Xiji County, 13 townships in Pengyang County, Lund County and Jingyuan County 1 rural area had case cases; from 1996 to 2001, 94 1 cases of hydatidosis patients were treated in 7 county hospitals, the incidence of which was significantly higher than that of females (36.66%) than that of males (36.34%), 70.3%) were higher than Han nationality (29.97%). Among the different occupational groups, peasants were the high incidence group, accounting for 75.03%, followed by the students (17.5%), the cadres and workers were low, Each accounted for 3.72%; Echinococcosis parasitic to the liver as multiple sites, accounting for 78.85%, followed by lung (11.37%) and multiple organ parasites (6.95%); echinococcosis infection onset age is 11 ~ 40 years of young and middle-aged, accounting for 80.76% of the total number of cases, over 50 years of age gradually decreased. Conclusions Hydatid disease is prevalent in 90 townships in 5 counties in southern Ningxia, with peasants of high prevalence. Men and women, Hui and Han incidence ratio between the existence of certain differences.