广东省128例新发现麻风病流行病学调查及分析

Analysis on Special Investigation in 128 New Reported Leprosy Cases and Prevention Strategy Discussion

目的:对广东省2007年新发现麻风病人进行专项调查,进一步探讨麻风病防治策略。方法:利用麻风病例专项调查问卷获取麻风病人来源、发现方式、确诊时间,确诊机构等信息,利用EPI data系统录入数据,统计分析利用SPSS 13.0。结果:本地100例新发现麻风病人主要分布在湛江、揭阳、汕头等地,28例流动人口病人主要来自广西、湖北、四川、湖南、江西、陕西、贵州等省份。92.2%的病人在门诊发现,85.5%由皮防所确诊,诊断延迟最长者为10年。20.4%的病人是LL型,28.2%的病人是BL型。结论:我省对于病人的早期发现和诊断都不理想,因此必须把对麻风高发地区的宣传教育和对皮肤科医生的麻风病诊疗知识培训作为麻风病防治的重点,以便及早控制和消灭麻风病。

Objective：To perform a special investigation on all the new reported leprosy cases in guangdong province in 2007 to find the leprosy prevention strategy in the low epidemical situation. Methods： information such as cases＇ address, methods of discovery, time and institute of diagnosis were derived with the self finished questionaire, and the data were inputted into Epi -inform system and analysized by SPSS13.0. Results ：128 cases were from the eastern and western of Guangdong province and some other provinces such as Guangxi, HuMan, Sichuan, Hubei et al. 92. 2% new reported cases were found in outpatient and 85.5% were diagnosed in skin disease prevention and treatment institute. The longest delayed period was 10 years, and when dignosed as leprosy 20. 4% were LL type and 28.2% were BL type. Conclusion：Almost all the leprosy cases are from the underdeveloped area. Both find and diagnosis of new cases were not timely. In the low leprosy epidemical situation,leprosy prevention should focus on the publicy of leprosy knowledge in high incidence area as well as professional training of the leprosy diagnosis in dermatologist in order to control and eliminate leprosy as soon as possible.