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目的了解桐乡市慢性丝虫病患者生存、发病及死因状况,为实施科学照料提供依据。方法现存患者以WHO推荐的淋巴水肿、象皮肿分期标准和方法开展自我/家庭照料;采用国际疾病分类法(ICD-10)观察根本死因。结果桐乡市现存慢性丝虫病患者834例,8年间急性淋巴管/结炎(流火)发作率呈下降趋势(P<0.01)。慢性丝虫病患者前5位死因依次为心脑血管疾病、呼吸系统疾病、恶性肿瘤、损伤和中毒及消化系统疾病。结论开展慢性丝虫病患者社区、家庭/自我照料,在一定程度上能控制急性淋巴管/结炎发作或减轻症状。
Objective To understand the survival, morbidity and causes of chronic filariasis in Tongxiang City, and to provide the basis for implementing scientific care. Methods Existing patients underwent self / home care with criteria and methods of lymphedema, elephant edema staging recommended by the WHO; and the International Classification of Diseases (ICD-10) to observe the underlying cause of death. Results 834 cases of chronic filariasis were found in Tongxiang City. The incidence of acute lymphangio-peristatis (flow-fire) in 8 years showed a decreasing trend (P <0.01). The top five causes of chronic filariasis were cardiovascular and cerebrovascular diseases, respiratory diseases, malignant tumors, injuries and poisoning and digestive diseases. Conclusion Community-based, family-based / self-care of patients with chronic filariasis may be able to control the onset of or alleviate the symptoms of acute lymphangiogenesis / inflammation to some extent.