安徽贵池区晚期血吸虫病人分布现状

Analysis of the distribution of advanced schistosomiasis in Guichi district

目的及时、全面的掌握贵池区晚期血吸虫病人的分布、分型特点,为开展晚血病人救治工作提供科学依据。方法制订晚血调查方案,明确调查方法、内容、标准,收集全区晚血病人个案资料,建立数据库,应用VisualFoxPro6.0和Excel2003软件进行统计分析。结果全区共有晚血病例595例,晚血患病率为0.95‰。男性368例,占61.85%;女性240例,占38.15%。年龄最大者85岁,最小16岁,平均年龄61.88±11.76岁。75.13%晚血病人分布在未达到疫情控制标准的流行村中。巨脾型占58.40%、腹水型占40.34%、结肠增厚型和侏儒型占1.17%。已实施脾切除手术260例。小学以下文化占88.91%。治疗次数不超过3次的占77.82%。结论晚期血吸虫病的发病率与当地疫情严重程度有关,大部分晚血病人分布在疫情未达到传播控制的疫区。晚血病人呈老龄化趋向。

Objective To understand the distribution and clinical classification of advanced schistosomia-sis in Guichi county timely and comprehensively, so as to provide scientific basis for treatment of advanced schistosomiasis. Methods The program investigation of the was formulated, the investigation measures, content and standards were defined. The patients information was collected, the database was set using Visual FoxPro 6.0 and Excel 2003 for statistical analysis. Results The total number of advanced schistosomiasis in Guichi dis-trict were 595, with the male cases were 368 and the female case were 240. The incidence of advanced schis-tosomiasis was 0.95‰. The oldest case was 85 years old and the youngest was 16 years old, with an average of 61.88±11.76 years old. 75.13% patients were in the epidemic village which has not reached transmission con-trol standard. The proportion of megalosplenia, ascites, colongranuloma and dwarf were 58.40%, 40.34% and 1.17% respectively. 260 cases had bee...更多n implemented splenectomy operation. 88.91% of patients were primary school education. 77.82% of the cases had less than three times treatment. Conclusion The incidence of ad-vanced schistosomiasis was correlated with the severity of the prevalence situation, most of the patients were distributed in the endemic areas where has not reached transmission control. The result showed that patients took on astogency tendency.