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目的了解血吸虫病流行区查治病现状,为制定更有效的查治病措施提供依据。方法在血吸虫病流行区选择6个流行村,用IHA法对6～65岁的居民进行血吸虫病检查,查出阳性者用吡喹酮治疗,了解查治状况;并以问卷调查及座谈方式,了解当前吡喹酮应用现状。结果 6个流行村漏查、漏治情况较严重,漏查、漏治率分别为42.67%和17.73%;漏查原因以外出务工为主占97.09%,其次为生病和妊娠占2.91%;漏治原因主要以生病和妊娠为主占76.55%,其次为拒治占23.45%。吡喹酮的滥用情况亦较普遍。结论在血吸虫病流行区开展查治病工作应加强督察与质量控制,提高受查率和化疗覆盖率。
Objective To understand the status quo of schistosomiasis endemic disease investigation and treatment for the development of more effective measures to provide the basis for investigation. Methods Six endemic villages were selected in the endemic area of schistosomiasis. The IHA method was used to detect schistosomiasis among residents aged 6 ~ 65 years. The positive cases were treated with praziquantel to find out the status of investigation and treatment. According to the questionnaire and informal discussion, Understand the current status of praziquantel application. Results The prevalence of missed investigation and leakage in the six endemic villages was more serious. The missed diagnosis and missed treatment rates were 42.67% and 17.73% respectively. The main reasons for missed trips were 97.09%, followed by illness and pregnancy accounted for 2.91% The main reason for the treatment of illness and pregnancy accounted for 76.55%, followed by refusing to rule accounted for 23.45%. Praziquantel abuse is also more common. Conclusion In the endemic area of schistosomiasis, investigation and quality control should be strengthened to improve the investigation rate and the coverage of chemotherapy.