本文選題：棘球蚴病 + 流行病學(xué)�。� 參考：《中國寄生蟲學(xué)與寄生蟲病雜志》2017年05期

【摘要】：目的了解和掌握青海省人體棘球蚴病流行與分布情況。方法于2012年3-9月在青海省43個(gè)縣(市、區(qū))按牧區(qū)、半農(nóng)牧區(qū)、農(nóng)區(qū)和城鎮(zhèn)進(jìn)行分層,根據(jù)各層人口數(shù)占全縣(市、區(qū))人口總數(shù)的比例確定各層調(diào)查人數(shù)及調(diào)查村數(shù),對(duì)3周歲以上常住居民進(jìn)行B超檢查,開展人群棘球蚴患病情況調(diào)查;每層抽取1所小學(xué),或者在學(xué)校集中的縣城抽取全縣所有小學(xué),對(duì)6~13歲學(xué)生進(jìn)行腹腔B超檢查,同時(shí)采集靜脈血,用ELISA試劑盒檢測血清抗棘球蚴Ig G抗體水平。應(yīng)用SPSS17.0軟件對(duì)調(diào)查結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)分析,計(jì)算患病檢出率和血清抗體陽性率,率間的比較采用χ~2檢驗(yàn)。結(jié)果青海省43個(gè)縣(市、區(qū))共抽取683個(gè)行政村(社區(qū)),B超檢查121 683人,檢出棘球蚴病患者1 333例,平均患病檢出率為1.10%(1 333/121 683)。人群調(diào)查結(jié)果顯示,不同生產(chǎn)類型的牧區(qū)、半農(nóng)牧區(qū)、農(nóng)區(qū)、城鎮(zhèn)的患病檢出率依次為2.51%(1 101/43 822)、0.84%(111/13 228)、0.08%(30/38 882)和0.35%(91/25 751)。性別分布中,男、女患病檢出率分別為0.90%(526/58 348)、1.27%(807/63 335),差異有統(tǒng)計(jì)學(xué)意義(χ~2=38.93,P0.01);年齡分布中,以30~39歲青壯年人群患病檢出率最高,為1.51%(387/25 682),不同年齡組間患病檢出率差異有統(tǒng)計(jì)學(xué)意義(χ~2=80.84,P0.01);調(diào)查對(duì)象來自于14個(gè)民族,其中1 333例患者主要分布于藏族、漢族、回族、蒙古族和撒拉族,這5個(gè)民族的患病檢出率分別為2.25%(1 277/56 752)、0.07%(32/44 420)、0.01%(1/8 229)、0.25%(17/6 806)和0.04%(1/2 558),各民族患病檢出率間差異有統(tǒng)計(jì)學(xué)意義(χ~2=1 354.77,P0.01);職業(yè)分布中以宗教人士的患病檢出率最高,為5.08%(52/1 024),牧民次之,為2.42%(1 089/44 982)。共抽取小學(xué)191所,均來自學(xué)校集中的縣城,B超檢查學(xué)生47 747人,檢出棘球蚴病者253例,平均患病檢出率為0.53%(253/47 747);ELISA檢測45 507份血清,陽性者2 693份,血清抗體陽性率為5.92%。結(jié)論青海南部各縣是棘球蚴病流行嚴(yán)重的地區(qū)。
[Abstract]:Objective to understand the prevalence and distribution of human echinococcosis in Qinghai province. Methods from March to September 2012, 43 counties (cities, districts) in Qinghai Province were divided into pastoral areas, semi-agricultural pastoral areas, agricultural areas and towns. According to the proportion of the population of each layer to the total population of the whole county (city and district), the investigation population and the number of villages were determined. B ultrasound examination was carried out on residents over 3 years of age, and an investigation was carried out on the prevalence of echinococcosis in the population. One primary school was selected from each level, or all primary schools in the county where the school was concentrated, and abdominal B ultrasound was performed on 6- and 13-year-old students. At the same time, venous blood was collected and the serum level of IgG antibody against echinococcus was detected by Elisa kit. SPSS 17.0 software was used to analyze the results of the investigation. The prevalence rate and the positive rate of serum antibody were calculated, and 蠂 ~ 2 test was used to compare the rates. Results A total of 683 administrative villages were selected from 43 counties (cities and districts) in Qinghai Province (community, B ultrasound examination, 121 683 people), 1 333 patients with echinococcosis were detected, the average prevalence rate was 1. 10% 1333 / 121 883. The results of crowd survey showed that the prevalence rate of disease in pastoral areas of different production types, semi-agricultural and pastoral areas, agricultural areas and towns was 2.5110 1 / 43 822% 0.844% and 0.35% 91 / 25 751 respectively. In the sex distribution, the prevalence rate of male and female was 0.90 / 526 / 58 348 / 1.27 respectively. The difference was statistically significant (蠂 ~ (2 / 2) 38.93) P 0.01.The age distribution was the highest in 30 ~ 39 years of age. There was a significant difference in the prevalence rate among different age groups (蠂 ~ (2 / 2) 80.84) (P < 0.01). The subjects were from 14 nationalities, of which 1 333 patients were mainly Tibetan, Han, Hui, Mongolian and Salah. The prevalence rates of these five ethnic groups were 2.25 / 127 / 56 / 7522 / 0.07 and 32 / 44 / 44 / 420 / 0.01 / 1 / 8 / 2290.25 / 6 / 6 806) and 0.04% / 2 558, respectively. There were statistically significant differences between the prevalence rates of each ethnic group (蠂 2 1 354.77 P 0.01; the highest prevalence rate was 5. 08% 522 024) among the religious people in the occupational distribution, followed by the herdsman at 2. 42% 10 / 89 4 / 98 2. A total of 191 primary schools were selected, all of them were from the county towns where the schools were concentrated. There were 253 cases of echinococcosis detected by B-mode ultrasonography. The average detection rate was 0.53 / 25 / 47,7470.The average positive rate was 45 507 serum samples, 2 693 samples were positive, and the positive rate of serum antibody was 5.92%. Conclusion Echinococcosis is prevalent in southern counties of Qinghai Province.
【作者單位】： 青海省地方病預(yù)防控制所;
【分類號(hào)】：R181.3;R532.32

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 黃立中;;溧陽市居民棘球蚴病血清流行病學(xué)調(diào)查[J];中國病原生物學(xué)雜志;2010年05期

2 王立英;伍衛(wèi)平;李石柱;付青;王強(qiáng);田添;楊詩杰;;青海玉樹地震災(zāi)后棘球蚴病傳播風(fēng)險(xiǎn)初步評(píng)估[J];中國寄生蟲學(xué)與寄生蟲病雜志;2010年04期

3 黃小妹;呂來福;黃立中;吳民義;金小林;;溧陽市囊型棘球蚴病回顧性調(diào)查[J];中國血吸蟲病防治雜志;2009年06期

4 黃立中;;江蘇省溧陽市小學(xué)生棘球蚴病血清流行病學(xué)調(diào)查[J];中國寄生蟲學(xué)與寄生蟲病雜志;2009年06期

5 李艷芳;李德壽;;海晏地區(qū)棘球蚴病流行情況調(diào)查[J];中國動(dòng)物檢疫;2010年05期

6 莎仁，張斌，其其格，，鈕莉春，烏云塔娜，王桂蘭;陳巴爾虎旗棘球蚴病調(diào)查[J];內(nèi)蒙古預(yù)防醫(yī)學(xué);1996年02期

7 赫永虎;強(qiáng)麗紅;;甘肅省白銀市2011年棘球蚴病流行情況調(diào)查[J];中國寄生蟲學(xué)與寄生蟲病雜志;2014年01期

8 何多龍,吳獻(xiàn)洪;青海省化隆縣棘球蚴病流行情況調(diào)查[J];中國寄生蟲學(xué)與寄生蟲病雜志;2002年03期

9 齊顏鳳;伍衛(wèi)平;;棘球蚴病流行病學(xué)研究進(jìn)展[J];中國寄生蟲學(xué)與寄生蟲病雜志;2013年02期

10 蘭思學(xué);嘎松達(dá)吉;白瑪朗珠;;西藏昌都地區(qū)人畜間棘球蚴病調(diào)查報(bào)告[J];中國農(nóng)業(yè)大學(xué)學(xué)報(bào);1998年S2期

相關(guān)碩士學(xué)位論文 前1條

1 趙月;四川省甘孜藏族自治州棘球蚴病空間聚集性分析[D];中國疾病預(yù)防控制中心;2015年

本文編號(hào)：1996983