普服阿苯哒唑诱发小学生流行性癔症的调查分析

Investigation Analysis of Epidemic Hysteria of Primary Students Who have Taken Albendazole

目的探索某小学学生服食阿苯哒唑(Albendazole)驱虫剂引发流行性癔症的流行因素。方法应用描述性流行病学方法对发生在某小学的流行性腹痛进行分析。结果某小学学生中,服食驱虫糖887人,自诉腹痛、全身不适161例,发生率18.15%。住院62例,住院率6.99%;女生住院率(10.70%)是男生(4.17%)的2.57倍,差别有高度的显著性(χ2=14.31,P<0.01)。l0～l2y三个年龄组发生43例(占69.35%)。特点为症状严重,但无相应阳性体征,发作高峰与学生集中有关,症状出现与暗示相关,心理治疗、安慰疗法有效。结论该事件是一起由于卫生知识缺乏、教师误导、天气闷热等社会及心理多因素引发的流行性癔症。

Objective To analyze the epidemic factors of epidemic hysteria of primary students who had taken Alhendazole anthelminthin agent. Method To use descriptive epidemiology to study the massive abdominal pain occurred in one primary school. Results 161 out of 887 students who have taken Albendazole anthelminthin agent reported abdominal pain and general malaise. Incidence rate： 18.15%. 62 needed to stay in hospital. Hospitalization rate： 6.99%.Female hospitalization rate （10.70%） is 2.57 times that of male （4. 17%）. A significant difference is seen between the two groups （χ^2=14. 31, P〈0.01）. 43 cases were between 10 and 12 years old（69.35%）. The characteristics of the cases are that severe symptoms were reported, but not in the relevant physical sign. The attack peak time is concerned with primary student concentration. The appearance of the symptoms is relevant to hint. Psychotherapy and consolation will be effective treatments. Conclusions This episode was caused by the social and psychological factors such as lack of hygienic knowledge, teachers＇ misguidance and sultry weather. It is the epidemic hysteria.