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目的分析1995-2005年青海省人与动物棘球蚴病的流行病学调查结果。方法人群棘球蚴病感染情况以Bu-ELISA、EM18-ELISA和B超、X线进行检查和评价。动物棘球蚴病/棘球绦虫感染调查采用解剖学方法和寄生虫学方法。结果①女性人群的血清阳性率和患病率显著高于男性人群(14.41%和4.81%、10.22%和3.25%);随年龄增长,人群血清阳性率和患病率升高(见表5);以牧民、喇嘛的血清阳性率和患病率最高(17.73%和9.33%、18.56%和10.0%)。②青海省人与动物棘球蚴病/棘球绦虫的血清阳性率和感染/患病率以青南高原的果洛、玉树、黄南三州最高(见表1、7、8),祁连山地和河湟谷地的海南、海北两州次之,海东地区、西宁及柴达木盆地的海西州较低。③青海省是以囊型棘球蚴病/细粒棘球绦虫为主的囊型和泡型棘球蚴病的混合流行区,并在其南部发现存在石渠棘球绦虫的动物感染。结论青海省棘球绦虫的生活史循环链十分复杂,家养动物相互之间、野生动物相互之间、家养动物和野生动物之间均参与其中。
Objective To analyze the epidemiological investigation of human and animal hydatid disease in Qinghai from 1995 to 2005. Methods The echinococcosis infection in the population was examined and evaluated by Bu-ELISA, EM18-ELISA, B-mode ultrasonography and X-ray. Echinococcosis / Echinococcus Infections Investigation Anatomical and parasitological methods were used. Results ① The seroprevalence and prevalence of the female population were significantly higher than those of the male population (14.41% and 4.81%, 10.22% and 3.25%), respectively. Seroprevalence and prevalence were increased with age (Table 5) ; The seroprevalence and prevalence of herders and lamas were the highest (17.73% and 9.33%, 18.56% and 10.0% respectively). (2) The seroprevalence and infection / prevalence of hydatid disease / hydatid cyst in Qinghai province were highest in Guoluo, Yushu and Huangnan counties in Qingnan Plateau (see Table 1, 7 and 8), Qilian Mountains and Rivers Hami valley, Hainan, Haibei two states second, the Haidong region, Xining and the Qaidam Basin lower Haixi. ③ Qinghai Province is a mixed endemic area of cystic and cystic hydatidosis dominated by cystic echinococcosis / Echinococcus granulosus and an animal infection of Echinococcus granulosus is found in the south of Qinghai Province. Conclusions The cycle chain of life cycle of Echinococcus granulosus in Qinghai Province is very complicated. Domestic animals are involved in each other, among wildlife, among domestic animals and wild animals.