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甘肃省1949—1990年累计发现麻风患者4669例,其中男3273例,女1396例;L+B3632例,T+11037例.原发治愈3331例,复发治愈195例;除死亡等其它减少至1990年底尚有现症病人130例.发病率最高1950年为2.28/10万,患病率最高1966年为0.173‰,到1986年分别下降到0.77/10万、0.42‰,分别下降幅度为96.62%、75.72%.约75%的病人分布在陇南、甘南、临夏三地、州,是重点流行区.主要防治对策是“早期发现、早期隔离(包括住院隔离和药物隔离)、早期治疗”.从防治对策的逐渐加强与流行趋势逐渐下降的关系表明,防治对策的效果是肯定的.但根据挪威麻风消失的因素分析,尚需考虑有关助成因素的作用.发病在空间呈集簇状分布和多菌型病例构成比高达77.79%是主要流行特点,其形成因素有待探讨.
In 1949-1990, a total of 4669 leprosy patients were found in Gansu Province, including 3273 males and 1396 females, L + B3632 and T + 11037. The primary treatment was 3331 and the recurrence was cured by 195 cases, with the exception of death and others reduced to 1990 In the end of 2003, there were 130 cases of patients with morbidity, the highest incidence was 2.28 / lakh in 1950 and the highest prevalence was 0.173 ‰ in 1966, down to 0.77 / 100,000 and 0.42 ‰ respectively in 1986, down by 96.62% , 75.72% .About 75% of the patients were located in Longnan, Gannan and Linxia, and were the major endemic areas.The main control measures were “early detection, early isolation (including hospital isolation and drug isolation), early treatment.” From The gradual strengthening of control measures and the gradual decline of the trend shows that the effect of prevention and control measures is affirmed.But according to the analysis of the factors that disappear in Norway leprosy still need to consider the role of co-morbid factors.The incidence of clustered distribution in the space and more Mycobacterium cases constitute up to 77.79% of the major epidemic characteristics, the formation of factors to be explored.