云南省大理州晚期血吸虫病现状

Current status of advanced schistosomiasis in Dali Prefecture,Yunnan Province

目的掌握大理州晚期血吸虫病(晚血)患者的分布现状和特点,为开展晚血救治和指导血防工作提供科学依据。方法在全州血吸虫病疫区,通过3条线索进行晚血现况调查。结果全州共有晚血694例,患病率为0.05%。2004年以后新发病例99例,占14.27%;男性138例,女性556例,男女性别比0.25:1;年龄最大83岁,最小12岁,平均年龄51岁;病例以巨脾型和腹水型为主,分别占54.18%和25.79%;351例得到了医疗救治,占50.58%。结论大理州晚血患病率较低,且有逐年下降趋势,但时有低年龄新发晚血病例出现,仍需加大晚血防控力度。

Objective To understand the distribution and characteristics of patients with advanced schistosomiasis in Dali Prefecture,Yunnan Province,so as to provide scientific basis for the assistance and control of advanced schistosomiasis.Methods The situation of advanced schistosomiasis in Dali Prefecture,Yunnan Province was investigated and analyzed through 3 clues.Results There were 694 patients with advanced schistosomiasis in Dali Prefecture with a prevalence rate of 0.05%.There were 99 new cases after 2004 which accounted for 14.27%.Among all the patients,138 cases were male and 56 were female with a sex ratio of 0.25：1.Their ages ranged from 12 to 83 years old with an average age of 51 years old.Patients with splenomegaly and ascites accounted for 54.18% and 25.79%,respectively.A total of 351 cases obtained the assistance which accounted for 50.58%.Conclusions The prevalence rate of advanced schistosomiasis in Dali Prefecture is low and presents a decreasing trend,however,cases with low age are often found.Therefore,the control of advanced schistosomiasis should be further strengthened.