摘要
四川于１９９０～１９９２年在全省开展了麻风畸残普查和抽样调查。全省的麻风畸残率为６３．０８％，在ＭＢ为６２．１５％，ＰＢ为６４．８３％，Ⅰ、Ⅱ和Ⅲ级畸残分别为１０．０２％、３０．７８％和２２．２７％。治疗期、监测期到完成监测后的畸残率依次递增（３８．２４％→４９．６９％→７１．５２％），差异非常显著，畸残程度亦以此顺序递增（Ⅱ＋Ⅲ级畸残的构成比分别为７６．７５％→８１．８５％→８５．１９％），差异显著，表明病人完成治疗后仍可出现新畸残和畸残加重。抽样资料显示，民族、文化程度、职业、麻风型别及治疗的规则性对畸残的发生发展均有明显的影响。麻风反应与手部畸残的关系较与足部和眼部的更为密切；在致视力障碍方面兔眼和角膜感觉障碍分居第１、２位。继发性畸残的比例甚高，达８０％以上，程度亦严重，故自我护理甚为重要。
A disability survey has been done in 1990 to 1992 in Sichuan Province,involving 20,559 people who have or had leprosy,and showed that the disability rate was 63 o8%,being 62 15% in MB ahd 64 83% in PB, and the disability of grade II and III was in 53 05%.Among active cases under MDT, those completed MDT and cures,the rates were 38 24%,49 69% and 71 52% and the degree increased in turn, respectively.In a randomly sampled group of 626 people similar condition was seen.It is proved that the disability might still develop or worsen even after completion of MDT.The authors emphasize the importance of self-care for the patients.
