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目的了解云南高原山区血吸虫病流行区居民参与血防查病的积极性和依从性。方法选择云南省鹤庆县金墩乡高原山区血吸虫病流行区西甸和磨光2个行政村开展调查,对调查村居民采用随机抽样方法抽取6~65岁居民开展问卷调查,了解其参与防治的态度、防治行为的水平和程度,对调查对象采用间接血凝试验(IHA)进行检查,了解其血吸虫感染情况。结果共调查412人,认为血吸虫病可以预防、不能预防、不知道能不能预防人数占调查人数的比例分别为80.34%、2.43%、17.23%。开展血吸虫病查病时做到参加检查、不去检查、没有回答人数占调查人数的比例分别为56.31%、25.49%、18.20%。结论云南高原山区血吸虫流行区居民对每年的血吸虫病查病工作产生了厌倦情绪,致使查病依从性降低,影响了防治质量的提高。在今后的防治过程中应该大力开展健康教育工作,强化流行区干部群众的血防意识,以获得较好的防治效果。
Objective To understand the enthusiasm and compliance of inhabitants in the prevention of schistosomiasis endemic in schistosomiasis endemic areas of Yunnan plateau. Methods A survey was conducted in two administrative villages of Xidian and Polished in schistosomiasis endemic areas in the plateau mountainous area of Jindun Township, Heqing County, Yunnan Province. Residents of 6 to 65 years old were surveyed by random sampling in residents in the survey villages to investigate their participation in prevention and treatment Attitude and prevention and control of the behavior of the level and extent of the object of the investigation by indirect hemagglutination test (IHA) to understand the situation of schistosomiasis. Results A total of 412 people were surveyed, that schistosomiasis can be prevented, can not be prevented, do not know can prevent the proportion of the number of the survey accounted for 80.34%, 2.43%, 17.23%. To carry out schistosomiasis check-ups to participate in the inspection, do not check, did not answer the number accounted for the proportion of the survey were 56.31%, 25.49%, 18.20%. Conclusion Residents in schistosomiasis endemic areas of mountainous plateau in Yunnan Province are tired of the annual schistosomiasis check-up work, resulting in reduced compliance of check-ups and diseases, which affects the improvement of prevention and treatment quality. In the course of future prevention and control, health education should be vigorously carried out so as to strengthen the awareness of blood-prevention among cadres and people in endemic areas so as to obtain better prevention and control effects.