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目的:阐明新疆生产建设兵团(以下简称兵团)人群包虫病感染和患病分布状况及流行病学特点,为制定防治策略措施提供依据。方法采用B超腹部扫查的方法,对调查点3岁以上居民进行检查,根据《包虫病诊断标准》(WS 257-2006)确诊病人,对可疑病例的鉴别诊断可在影像学检查的基础上,采静脉血进行血清免疫学检测做出诊断。对抽取的学校儿童采用血清学方法检测抗棘球蚴抗体。结果 2012年兵团共调查13个流行师,调查团场80个,连队208个。共调查44617人,确诊包虫病患者31人,全部为囊性包虫病病人,其中一人合并泡型包虫病,平均患病率为0.07%,标化后的患病率为0.06%,推算兵团包虫病病人数为1449人。共检测儿童10405人,阳性儿童238人,平均感染率2.29%。结论通过三年的综合防治工作,大量包虫病病人得到及时救治,儿童感染率明显下降,包虫病流行得到有效控制。但防治工作仍面临新的困难和挑战,需继续加强防治工作力度,降低包虫病危害,保障人民群众身体健康。
Objective: To clarify the population distribution and epidemiological characteristics of hydatid disease among Xinjiang Production and Construction Corps (hereinafter referred to as Corps), and provide the basis for making prevention and control strategies and measures. Methods The method of B-ultra-abdominal scan was used to check the residents over the age of 3 years in the survey site. According to the diagnostic criteria of echinococcosis (WS 257-2006), the differential diagnosis of suspicious cases could be based on the imaging examination On the collection of venous blood serum immunology test to make a diagnosis. Serological methods were used to detect anti-hydatid antibody against the extracted school children. Results In 2012, the Corps conducted a survey of 13 popular divisions and investigated 80 teams and 208 companies. A total of 44,617 people were surveyed, of which 31 were diagnosed as echinococcosis patients, all of whom were cystic echinococcosis patients. One of them had bubble hydatid disease with an average prevalence rate of 0.07% and a standardized prevalence rate of 0.06% Corps hydatid disease count of 1449 people. A total of 10,405 children were detected, 238 positive children, the average infection rate of 2.29%. Conclusion Through three years of comprehensive prevention and treatment work, a large number of patients with hydatid diseases have been treated promptly, and the infection rate of children has dropped markedly. Echinococcosis prevalence has been effectively controlled. However, prevention and control work still faces new difficulties and challenges. It is necessary to continue to intensify efforts in prevention and control so as to reduce the harm of hydatid disease and ensure the health of the people.