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目的了解2015年湖南省晚期血吸虫病(晚血)治疗救助患者的特点和分布现状,为完善晚血治疗救助政策提供参考依据。方法按照晚血治疗救助标准,对湖南省2015年在册晚血患者进行核查与确认,对符合晚血治疗救助标准者进行流行病学调查,分析比较救助患者在人口学、诊疗史及治疗救助等方面的特征。结果 2015年湖南省救治晚血患者3 850人,男性2 664人(69.19%),女性1 186人(30.81%),主要分布在岳阳、常德、益阳3个血吸虫病流行市。晚血救治患者中腹水型2 369例(61.53%),巨脾型1 466例(38.08%),结肠增殖型及侏儒型15例(0.39%);平均年龄(62.94±11.67)岁,以60岁以上高年龄人群为主(64.31%)。晚血救治患者首次确诊平均年龄(53.85±21.32)岁,主要集中在40~60岁(68.57%);平均患病年限(9.58±10.06)年,主要为10年以内(75.95%);首次确诊血吸虫病到首次确诊晚血平均历时(22.33±14.20)年。晚血救治医院以县级为主(76.57%),患者救治有效率为94.46%,享有医保(农村合作医疗、城镇医保等)者占86.57%。结论湖南省晚血救治患者数量较多,临床治愈率偏低,晚血救治任务仍然较重。腹水型、高年龄晚血患者是治疗救助的重点。
Objective To understand the characteristics and distribution of patients with advanced schistosomiasis (late blood) treatment in Hunan Province in 2015, and provide a reference for improving the treatment policy of late blood. Methods According to the standard of assistance for late blood treatment, we checked and confirmed the late-blooded patients in 2015 in Hunan Province, and conducted epidemiological investigation on those who met the criteria of assistance in late-blooded blood treatment. Analysis and comparison of rescue patients in demography, history of treatment and treatment assistance Aspects of the characteristics. Results In 2015, there were 3 850 people receiving treatment of late blood in Hunan Province, including 2 664 males (69.19%) and 1 186 females (30.81%), mainly in the epidemic areas of 3 schistosomiasis in Yueyang, Changde and Yiyang. There were 2 369 cases (61.53%) with ascites, 1 466 cases with splenomegaly (38.08%), 15 cases with colon hyperplasia and dwarfism (0.39%) with mean age of 62.94 ± 11.67 years Over the age of high age groups (64.31%). The mean age at diagnosis (53.85 ± 21.32) was mainly between 40 and 60 years old (68.57%). The mean duration of illness (9.58 ± 10.06) years was mainly within 10 years (75.95%). The first diagnosis Schistosomiasis to the first diagnosis of late blood average duration (22.33 ± 14.20) years. The hospital for treatment of late blood was county-based (76.57%), the effective rate of treatment was 94.46%, and 86.57% were covered by Medicare (rural cooperative medical care, urban medical insurance, etc.). Conclusions Hunan Province has a large number of patients receiving late blood treatment, the clinical cure rate is low, and the task of late blood treatment is still heavy. Ascites, high age and late blood is the focus of treatment and rescue.