2010年四川省晚期血吸虫病患者现状调查

Investigation on current status of advanced schistosomiasis in Sichuan Province,2010

目的掌握四川省晚期血吸虫病（晚血）患者的分布现状和特点,为科学管理和进一步救助治疗晚血病人提供依据。方法于2010年对四川省在册历史晚血患者和有疑似晚血症状的非在册病人,按照晚血诊断标准,通过流行病学问卷调查和医学检查等,进行晚血清理和筛查诊断。结果2010年四川省有晚血确诊患者1 684例,分布在成都、德阳、绵阳、眉山、乐山、雅安、凉山等7个血吸虫病流行市（州）。晚血患者中有巨脾型（含脾切除术后）1 066例（63.30%）,腹水型545例（32.36%）,结肠增殖型44例（2.61%）,侏儒型29例（1.72%）;以60~岁的高年龄患者为主,占51.72%。目前尚需要进一步救助治疗的晚血患者有1 331人,占所有患者的79.04%;其中尚需要进行内科救助治疗的腹水型患者占36.44%。结论四川省晚血患者数量仍然较大,分布较广。今后应进一步加强晚血救治工作的力度,并以腹水型晚血患者为今后全省救助治疗的重点,建立和完善晚血病人关怀系统,更好地发挥晚血救助治疗政策的作用。

Objective To understand the current distribution and characteristics of patients with advanced schistosomiasis in Siehuan Province, so as to provide the scientific evidence for improving the management and treatment of advanced schistosomia- sis. Methods The patients who had been diagnosed as advanced schistosomiasis or were supposed with advanced schistosomiasis were the objects of the investigation. The epidemiological survey and medical examination were used to investigate these persons one by one according to the national standard. Results There were 1 684 patients with confirmed diagnosis in 7 cities of Sichuan Province. There were 1 066 cases of splenomegaly including post-surgery （63.30%）, 545 cases of ascites （32.36%）, 44 cases of multiple granulomas in the colon （2.61%）, and 29 cases of dwarf （1.72%）. Most of the patients were old and 51.72% of them were more than 60 years old. A total of 1 331 patients （79.04%） needed treatment and assistance at present, and 36.44% of them who had ascites needed internal medicine treatment. Conclusion There are also many patients with advanced schistosomiasis in Sichuan Province, and ascites and splenomegaly （post-surgery） were the main types. The patients with ascites should be the impor- tant objects of the treatment and assistance in the future.