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目的了解当前常德市晚期血吸虫病流行现状和特点,为制定有效的晚血防治对策提供科学依据。方法以行政村为单位,逐村摸底排查。对既往在册晚血病人及新的疑似晚血病例询问病史,体格检查,实验室检查和特殊检查确诊。结果全市共确诊晚血1 150例,其中男性860例,占75.65%,女性280例,占24.35%;年龄最大者为90岁,最小19岁,平均年龄56.83岁;40岁以上晚血占89.65%。晚血分型:腹水型占58.35%,巨脾型占39.74%,结肠增殖型和侏儒型各为0.96%。疫区分布:洲垸型占66.26%,垸内型12.09%,湖汊型9.22%,山丘型12.43%,非疫区4.61%。结论常德市晚血以湖沼地区未控制疫区晚血患病率最高,晚血病例中以50岁以上者居多,以文盲和小学文化程度者居多,全市晚血患病率有下降趋势。
Objective To understand the current situation and characteristics of the epidemic of advanced schistosomiasis in Changde City, and to provide a scientific basis for the development of an effective strategy to prevent and treat late-blooded blood. Method to the administrative village as a unit, the village thoroughly investigation. On the history of patients with late bloody patients and suspected cases of suspected late blood history, physical examination, laboratory tests and special examination confirmed. Results A total of 1 150 cases of late blood were diagnosed in the city, including 860 males, accounting for 75.65% and 280 females, accounting for 24.35%. The oldest was 90 years old, the youngest was 19 years old, with an average age of 56.83 years and 89.65 years old %. Late blood typing: ascites type accounted for 58.35%, spleen type accounted for 39.74%, colon proliferation and dwarf type were 0.96%. The epidemic area distribution: continent embankment accounted for 66.26%, embankment type 12.09%, lake type 9.22%, 12.43% of hill type, pest free area 4.61%. Conclusions The late blood of Changde City has the highest prevalence of late blood in uncontrolled areas of lakes and mountains. In the late blood cases, those over 50 are mostly illiterate and primary school educated, and the prevalence of late blood in the city is on the decline.