江苏省慢性丝虫病现状调查

Current status of chronic filariasis in Jiangsu Province

目的了解江苏省慢性丝虫病患者现状,为继续做好慢性丝虫病患者关怀照料工作提供基础数据。方法根据历史在册病例资料,2018年6-7月对江苏省慢性丝虫病患者逐个随访并开展线索调查,通过问卷调查获取患者基础资料,对患者特征、关怀照料点分布及覆盖人群等信息进行分析。结果江苏省现存慢性丝虫病患者3160例,男性占40.0%,女性占60.0%;60岁及以上占91.8%。患者主要分布于宿迁(24.2%)、淮安(19.5%)、苏州(17.3%)、徐州(11.2%)、盐城(9.8%)等设区市。单纯淋巴管/结炎、单纯淋巴水肿/象皮肿、单纯乳糜尿、单纯鞘膜积液和同时有上述2种或以上症状的病例分别占2.7%、37.1%、11.2%、0.9%和48.1%。97.8%的淋巴水肿/象皮肿患者水肿部位发生在下肢,90%以上的患者分期在Ⅰ-Ⅲ期。目前全省有慢性丝虫病患者照料点220个,覆盖患者2091人,当年开展关怀照料活动平均次数为3.2次,平均累计开展活动年数为11.3年。结论江苏省慢性丝虫病患者数量明显减少,表现为高龄、病程长等特点,关怀照料点未覆盖全部患者。今后应对全部慢性丝虫病患者开展关怀照料,以减轻其症状、提高其生活质量。

Objective To understand the current status of chronic filariasis patients in Jiangsu Province so as to provide basic data for following-up care for them.Methods The patients were followed up one by one according to history archives between June and July,2018,and the clue investigation was also conducted.The base data of the patients was collected through a face-to-face questionnaire survey and analyzed.Results There were still 3160chronic filariasis patients in Jiangsu Province. Among them,the male accounted for 40.0%,and 91.8%of the patients were older adults aged 60years or above.From the as- pect of regional distribution,Suqian (24.2%),Huai'an (19.5%),Suzhou (17.3%),Xuzhou (11.2%),and Yancheng (9.8%) were the five top high prefectures.The patients with simple lymphatic inflammation or lymphadenitis,simple lymphedema or elephantiasis,simple chyluria,simple hydrocele of tunica vaginalis,and two symptoms or more accounted for 2.7%,37.1%, 11.2%,0.9%,and 48.1%,respectively.For the patients with lymphedema or elephantiasis,97.8% of edema was seen in the lower limbs,and more than 90% of the edema stages were Ⅰ-Ⅲ.The number of current caring sites was 220,covering 2091 patients.The average number of times of caring activities in this year was 3.2.The average cumulative time of caring activities among all the sites was 11.3 years.Conclusions The number of chronic filariasis patients has been dramatically decreased, most of the patients are old and have long disease durations.The caring sites have not covered all the patients.In order to release the symptoms and improve the life quality of the patients,all the patients should be taken care of in Jiangsu Province.