發(fā)布時(shí)間：2018-05-24 11:51

  本文選題：日本血吸蟲 + 綜合防治��； 參考：《大理大學(xué)》2017年碩士論文

【摘要】：目的:通過收集相關(guān)資料,分析大理市血吸蟲病綜合防治效果及其影響因素并對(duì)大理市血吸蟲病流行現(xiàn)狀進(jìn)行綜合評(píng)價(jià),為制定下一步防治策略和優(yōu)化資源配置提供基礎(chǔ)參考和科學(xué)依據(jù)。方法:回顧性收集2004—2015年大理市血吸蟲病綜合防治策略實(shí)施情況(包括衛(wèi)生血防、農(nóng)業(yè)血防、林業(yè)血防、水利血防),統(tǒng)計(jì)每年各項(xiàng)防治措施完成數(shù)、防治的總費(fèi)用以及人、畜疫情和螺情等疫情的變化情況,對(duì)綜合防治的效果及影響因素進(jìn)行分析,并對(duì)2015年大理市各鄉(xiāng)鎮(zhèn)血吸蟲病流行現(xiàn)狀進(jìn)行綜合評(píng)價(jià)。采用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行數(shù)據(jù)處理,進(jìn)行描述性分析、費(fèi)用-效果分析、多重線性回歸分析以及TOPSIS法和秩和比法相結(jié)合的綜合評(píng)價(jià)。結(jié)果:(1)2015年有螺面積為17.64hm~2,相較于2004年下降了93.94%,;2015年有螺框出現(xiàn)率、活螺密度分別為0.26%、0.1只/0.1m~2,相較于2004年分別下降了88.37%、93.63%;2015年血吸蟲病人群血清學(xué)陽性率為2.00%,較2004年下降了73.22%;2015年血吸蟲病人群校正感染率為0,較2004年下降了100%;2015年牛感染率為0,較2004年下降了100%。(2)以2004年的疫情數(shù)據(jù)為基準(zhǔn),2005-2015年各年綜合效果指數(shù)分別為44.10、47.39、74.47、81.88、82.36、83.12、83.67、84.00、84.70、84.89、84.99。(3)以2004年的疫情數(shù)據(jù)為基準(zhǔn),2008年和2015年為考核對(duì)象,每百人群感染率下降1%的年平均費(fèi)用分別為21元、20元,每百頭牛感染率下降1%的年平均費(fèi)用分別為486元、502元,每1hm~2釘螺面積壓縮1%的年平均費(fèi)用分別為773元、1269元,每1hm~2活螺密度下降1%的年平均費(fèi)用分別為725元、1362元,每1hm~2的釘螺感染率下降1%的年平均費(fèi)用分別為634元、1192元,每提高一個(gè)綜合效果指數(shù)的年平均費(fèi)用分別為13.65萬元、12.93萬元。(4)人群免疫學(xué)陽性率與牛感染率、無害化衛(wèi)生廁所普及率有統(tǒng)計(jì)學(xué)關(guān)聯(lián),人群校正感染率與安全飲水普及率有統(tǒng)計(jì)學(xué)關(guān)聯(lián),牛感染率與無害化衛(wèi)生廁所普及率、人群免疫學(xué)陽性率有統(tǒng)計(jì)學(xué)關(guān)聯(lián),釘螺感染率與安全用水普及率、牛感染率、人群治化療覆蓋率、無害化衛(wèi)生廁所普及率有統(tǒng)計(jì)學(xué)關(guān)聯(lián)。(5)對(duì)轄區(qū)內(nèi)有血吸蟲病流行的10個(gè)鄉(xiāng)鎮(zhèn)疫情現(xiàn)狀進(jìn)行TOPSIS法排序,疫情最輕為太邑鄉(xiāng),最重為銀橋鎮(zhèn)。(6)運(yùn)用秩和比法對(duì)大理市各鄉(xiāng)鎮(zhèn)的疫情現(xiàn)狀進(jìn)行分檔,得回歸方程:Cipro=0.120Probit-0.383(F=105.712,P0.05,R2=0.991),疫情現(xiàn)狀的分檔結(jié)果為:銀橋鎮(zhèn)為差檔,灣橋鎮(zhèn)、上關(guān)鎮(zhèn)、下關(guān)鎮(zhèn)、海東鎮(zhèn)、大理鎮(zhèn)、雙廊鎮(zhèn)、喜洲鎮(zhèn)為中檔,鳳儀鎮(zhèn)和太邑鄉(xiāng)為優(yōu)檔。結(jié)論:大理市實(shí)施“以傳染源控制為主”的血吸蟲病綜合防治的相關(guān)措施后防治效果顯著,血吸蟲病的流行得到了大幅度的遏制,現(xiàn)階段的疫情總體上呈低度流行狀態(tài),但伴隨的防治成本也較高;在綜合防治的相關(guān)措施中,可初步認(rèn)為無害化衛(wèi)生廁所建設(shè)、安全飲水工程、人治化療是影響大理市防治效果的主要相關(guān)措施;現(xiàn)階段大理市各鎮(zhèn)疫情參差不齊,部分鄉(xiāng)鎮(zhèn)疫情處于不穩(wěn)定狀態(tài),血吸蟲病治理任務(wù)還很艱巨。
[Abstract]:Objective: to analyze the effect of comprehensive prevention and control of schistosomiasis in Dali and its influencing factors by collecting relevant data, and to provide a comprehensive evaluation on the epidemic situation of schistosomiasis in Dali, and provide a basic reference and scientific basis for making the next control strategy and optimizing the allocation of resources. Methods: a retrospective collection of schistosomiasis in Dali from 2004 to 2015 was conducted. The implementation of the prevention and control strategy (including health schistosomiasis, agricultural schistosomiasis, forestry schistosomiasis, water control), the total cost of each control measure, the total cost of prevention and control, the change of the epidemic situation of human, animal and snails, the effect of comprehensive prevention and control, and the epidemic of schistosomiasis in Dali in 2015. Comprehensive evaluation of the current situation. Using SPSS17.0 statistical software for data processing, descriptive analysis, cost-effectiveness analysis, multiple linear regression analysis and comprehensive evaluation of TOPSIS and rank sum ratio methods. Results: (1) in 2015, the snail area was 17.64hm~2, compared with 93.94% in 2004, and the emergence rate of the spiral frame in 2015, and the living snail in 2015. The density was 0.26% and 0.1 /0.1m~2, respectively, 88.37%, 93.63% compared with 2004. The serological positive rate of Schistosoma japonicum was 2% in 2015 and 73.22% in 2004. The corrected infection rate was 0 in 2015 and 100% compared with 2004; in 2015, the rate of bovine infection was 0, and 100%. (2) was decreased compared to 2004. According to the data, the comprehensive effect index of 2005-2015 years was 44.10,47.39,74.47,81.88,82.36,83.12,83.67,84.00,84.70,84.89,84.99. (3), based on the data of the epidemic in 2004, and in 2008 and 2015. The annual average cost of the infection rate of each hundred people was 21 yuan, 20 yuan, and the infection rate of each hundred cattle was 1%, respectively. The annual average cost was 486 yuan and 502 yuan respectively. The annual average cost of each 1hm~2 snail area compression 1% was 773 yuan and 1269 yuan respectively. The annual average cost per 1hm~2 living snail density decreased by 1% was 725 yuan and 1362 yuan respectively. The annual average cost per 1hm~2 snail infection rate decreased by 1%, respectively, 634 yuan and 1192 yuan, each increase of the annual average of a comprehensive effect index. The cost was 136 thousand and 500 yuan and 129 thousand and 300 yuan, respectively. (4) there was a statistical correlation between the positive rate of the population immunology and the rate of cattle infection, the prevalence rate of harmless sanitary toilets, and the correlation between the rate of correction of infection and the prevalence of safe drinking water, the rate of bovine infection and the prevalence of sanitary toilets, the positive rate of immunology in the population, and the infection rate of Oncomelania snails. There was a statistically significant correlation between the prevalence of safe water use, cattle infection rate, population treatment and chemotherapy coverage, and the prevalence rate of harmless sanitary toilets. (5) the status of 10 villages and towns with schistosomiasis epidemic in the jurisdiction was sorted by TOPSIS method, the lightest epidemic situation was Yiyi Township, and the most serious was yicheqiao town. (6) the status quo of the epidemic situation in Dali towns by rank sum ratio method The regression equation: Cipro=0.120Probit-0.383 (F=105.712, P0.05, R2=0.991), the results of the status of the epidemic situation are: Yinqiao town for the differential, Bay Bridge Town, Shangguan Town, Xiaguan Town, Haidong Town, Dali Town, double corridor Town, Xizhou town as the middle, Fengyi town and Tai Yi township as the best files. Conclusion: Dali to implement the "control of the source of contagion dominated" blood The epidemic of schistosomiasis has been greatly suppressed. The epidemic situation in the present stage is generally low, but the cost of prevention and control is high. In the relevant measures of comprehensive prevention and control, the construction of harmless sanitary toilets, safe drinking water engineering, and treatment chemotherapy can be considered. It is the main related measures that affect the effect of Dali's prevention and control; the epidemic situation in Dali towns is uneven at the present stage, the epidemic situation in some villages and towns is in the unstable state, and the harnessing task of schistosomiasis is still very arduous.
【學(xué)位授予單位】：大理大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R532.21

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