中山市住院病人華支睪吸蟲(chóng)感染現(xiàn)狀調(diào)查
本文選題:華支睪吸蟲(chóng) + 感染率; 參考:《中國(guó)血吸蟲(chóng)病防治雜志》2017年04期
【摘要】:目的以調(diào)查住院病人為基礎(chǔ)了解中山市華支睪吸蟲(chóng)感染狀況和流行特征。方法 2016年,以中山市23個(gè)鎮(zhèn)區(qū)醫(yī)院作為監(jiān)測(cè)醫(yī)院,以監(jiān)測(cè)醫(yī)院住院病人中在中山市居住時(shí)間超過(guò)6個(gè)月者作為監(jiān)測(cè)對(duì)象,采集其糞便標(biāo)本,采用改良加藤厚涂片法檢查華支睪吸蟲(chóng)蟲(chóng)卵,根據(jù)中山市2016年常住人口年齡和性別構(gòu)成對(duì)調(diào)查得到的華支睪吸蟲(chóng)感染率進(jìn)行標(biāo)化,對(duì)不同鎮(zhèn)區(qū)及合并相關(guān)疾病者感染率進(jìn)行分析。結(jié)果共2 667人納入監(jiān)測(cè),鏡檢陽(yáng)性219人,感染率為8.21%。鏡檢陽(yáng)性人群中,男性179例,占81.74%;年齡最小4歲,最大89歲,平均(62.20±13.80)歲。經(jīng)年齡和性別標(biāo)化后,中山市全人群感染率為3.62%,其中男性感染率為5.46%,女性為1.53%,男性是女性的3.57倍。男、女性均呈現(xiàn)出年齡越大感染率越高的趨勢(shì)(χ_(男性)~2=99.91、χ_(女性)~2=16.51,P均0.01)。鎮(zhèn)區(qū)標(biāo)化感染率最高為10.40%,最低為0,呈北高南低的特征。膽結(jié)石病人標(biāo)化感染率為9.22%,非膽結(jié)石病人為3.40%,前者是后者的2.71倍。結(jié)論 30歲以上、患有膽結(jié)石及居住于高感染率鎮(zhèn)區(qū)者是中山市華支睪吸蟲(chóng)病防控的重點(diǎn)人群。
[Abstract]:Objective to investigate the infection status and epidemic characteristics of Clonorchis sinensis in Zhongshan City. Methods in 2016, 23 hospitals in Zhongshan City were used as surveillance hospitals, and those patients who lived in Zhongshan City for more than 6 months were taken as the monitoring objects, and their fecal specimens were collected. The egg of Clonorchis sinensis was examined by modified Kato thick smear method. The infection rate of Clonorchis sinensis was standardized according to the age and sex composition of resident population in Zhongshan City in 2016. The infection rate of patients with different towns and associated diseases was analyzed. Results A total of 2667 people were included in the surveillance, 219 of them were positive under microscope, and the infection rate was 8.21. There were 179 males (81.74), the youngest 4 years old, the oldest 89 years old (mean 62.20 鹵13.80) years old. After age and sex standardization, the infection rate of the whole population in Zhongshan City was 3.62, among which the infection rate of male was 5.46, that of female was 1.53, and that of male was 3.57 times of that of female. Both males and females showed a trend of higher infection rate as they got older (蠂 + 299.91M, 蠂 + 216.51P, P = 0.01). The highest rate of standardized infection was 10.40 and the lowest was 0, which was characterized by high in north and low in south. The standardized infection rate of gallstone patients was 9.22 and that of non-cholelithiasis patients was 3.400.The former was 2.71 times higher than the latter. Conclusion the patients over 30 years old with gallstones and living in the townships with high infection rate are the key population for the prevention and control of clonorchiasis sinensis in Zhongshan City.
【作者單位】: 廣東省中山市疾病預(yù)防控制中心;廣東省疾病預(yù)防控制中心;
【基金】:中山市科技局醫(yī)療衛(wèi)生重大專(zhuān)項(xiàng)(2015B1004)
【分類(lèi)號(hào)】:R532.23
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