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目的了解并分析甘肃省高台县包虫病流行现状,为制定相应的预防控制对策提供有效的基数资料。方法依据《甘肃省包虫病流行情况调查技术方案》要求,在全县8个农区乡(镇)抽取18个行政村为调查村,城区及近郊共3所小学为调查学校,使用统一方法、统一诊断标准,采用B超影像学和血清学(ELISA)方法进行调查;犬粪样采用ELISA法进行终宿主感染情况调查;对当地繁育的1岁以上的宰杀后的羊进行家畜棘球蚴病调查。结果 B超和血清学检查村民4 002人,阳性5人,确诊5人,患病率为0.12%,患者年龄均为40岁以上,其中女性患病率高于男性;检查12岁及以下学生1 601人,血清学检查阳性10人,阳性率0.62%,B超阳性率为0;犬粪抗原检测487份,阳性36份,阳性率7.39%,调查羊1 005只,查出感染羊2只,感染率0.19%。结论本次调查结果表明包虫病在该县人间和畜间都有流行,流行原因主要与当地居民的生活习惯和犬类数量多及流动性较大有关。
Objective To understand and analyze the current status of hydatid disease in Gaotai County, Gansu Province, and to provide an effective base for the development of appropriate preventive and control strategies. Methods According to the “Technical Plan for Investigation of Epidemic Situation of Echinococcosis in Gansu Province”, 18 administrative villages in 8 rural areas (towns) of the county were selected as survey villages, and 3 primary schools in urban area and suburban areas were investigated. A unified method , Uniform diagnostic criteria, the use of B-ray imaging and serological (ELISA) methods were investigated; dog feces specimens by ELISA method for the investigation of the final host infection; locally-breeding slaughtered sheep over the age of 1 years after the echinococcosis Disease investigation. Results There were 4 002 villagers and 5 were positive by B-mode ultrasonography and serological tests. Among them, 5 were diagnosed and the prevalence was 0.12%. The patients were all over 40 years old. The prevalence of females was higher than that of males. 1 601, serological positive 10, the positive rate of 0.62%, B-positive rate was 0; dog faecal antigen test 487, positive 36, the positive rate of 7.39%, survey of 1 005 sheep, the detection of infected sheep 2 Only, infection rate 0.19%. Conclusion The results of this survey indicate that echinococcosis is endemic in human beings and livestock farms in this county. The reasons for its prevalence are mainly related to the living habits of the local residents and the large number of dogs and the greater mobility.