摘要
目的了解鲁南慢性丝虫性乳糜尿、象皮肿病例的发病特点,为做好慢性丝虫性乳糜尿、象皮肿患者的照料救治工作奠定基础。方法对1995—2004年10年间确诊的504例晚期丝虫病住院病例资料进行整理、统计分析。结果504例晚期丝虫病住院患者,以枣庄、济宁、临沂三地市居多;年龄13-87岁,60-组最多;农民最多,占89.29%,多为文盲和小学文化程度;病程1月-60年,20年-组患者最多。乳糜尿428例,女性偏多(53.9r7%);象皮肿76例,男性偏多(61.84%);病变发生在右下肢最多,占51.32%,轻中度病情较多,占72.37%。血总蛋白〈60g/L异/L者占43.33%,其中乳糜尿患者占90.77%;Hb〈120g/L者48.10%,乳糜尿患者占87.92%;乳糜定性试验阳性者93.46%,尿蛋白定量1—5g/L者最多,占75.93%。428例乳糜尿住院患者。均采用中西医结合辨证施治,312例30d内即时治愈出院;76例象皮肿患者,61例于50d内基本治愈或显效出院。结论慢性丝虫病患病率已处于较低水平,当务之急是积极探索理想的治疗方法及措施,治疗慢性丝虫病患者,减轻患者症状或体征,提高其生活质量。
Objective To understand the situation of chronic filariasis patients with Chyluria and Elepentiasis in south Shandong and provide evidence for the project of care of filariasis patients at late stage after elimination. Methods 504 chronic filariasis cas- es once registered in or out of our institute from 1995 to 2004 were collected and analyzed statistically. Results Most of the pa- tients were farmers from cties of Zaozhnang, Jining and Linyi Prefecture, and mostly in their sixties while ranging from 13 to 87 years old. Peasants who were illiterate or only with a primary school education accounted for 89.29 %. The courses of all cases were from 1 month to 60 years, mostly over 20 years. There were 428 female chyluria patients (53.97%). Male accounted for 61.84% of the 76 cases with elephentiasis of which 51.32 % in right lower llmb, The mild and and moderate cases accounted for 72.37 %. Blood tests showed that 43.33% of the patients had total blood protein below 60g/L,of whom 90.77% were ehyluria eases. Hb value in 48.10% was less than 120g/L and 87.92% of them had chyluria. 93.46% of all cases had ehyluria and the protein content was 1. 0 - 5.0g/L in urine of 75.93% of the patients. All 428 patients suffering from chyluria were hospitalized and treated with traditional medicine and western medicine according to their clinical manifestation. 312 cases were cured in 30 days and discharged. Of the 76 patients with elephantiasis 61 were basically cured within 50 days and discharged. Conclusion Although filariasis is prevalent at a low level in Shandong Province, effective therapies be sought so as to eliminate the hazard of filariasis and improve the life quality of the patients as soon as possible.
出处
《中国热带医学》
CAS
2006年第4期615-617,共3页
China Tropical Medicine
关键词
丝虫病
鲁南
乳糜尿
象皮肿
Filariasis
Southern Shandong Province
Chyluria
Elephantiasis