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目的 探讨山东省班氏丝虫病基本消灭 10年、2 3年后乳糜尿的发病情况。方法 于 1985年 ,现场流行病学调查了 4个县 190 0 38人 ;1998年 ,随机调查了上述 4县中的 1个县 41114人。结果 第 1次调查发现 35 7例乳糜尿 ,其中 110例为现征乳糜尿 ,2 47例为非现征乳糜尿。 131例 ( 36 .6 9%)在控制前发病 ,2 2 6例 ( 6 3.31%)在控制后发生。第 2次共查出了 78例病人 ,平均发病率为 0 .19%。仅有 4例新发病人 ,较 1985下降了 95 .87%。 2 4例死于各种原因 ,累计死亡率为 2 4.74%。结论 基本消灭丝虫病后 10年内乳糜尿有增加的趋势 ,10年后乳糜尿逐渐下降直至停止发生。
Objective To investigate the incidence of chyluria after Bani filariasis eradicated in Shandong province for 10 years and 23 years. Methods In 1985, there were 190 0 38 people in 4 counties in the on-site epidemiological survey. In 1998, 41114 people from 1 county in the above 4 counties were randomly surveyed. Results The first survey found 357 cases of chyluria, of which 110 were found to be chyluria and 247 were non-existent chyluria. 131 (36.69%) developed disease prior to control and 226 (6 3.31%) developed after control. The second time found a total of 78 patients, the average incidence was 0.19%. Only 4 cases of new patients, compared with 1985 decreased by 95.87%. 24 died of various causes, with a cumulative mortality rate of 2.74%. Conclusions Chyluria tended to increase ten years after the basic elimination of filariasis. Chyluria gradually decreased until it stopped after 10 years.