1999-2012年广东省普宁市麻风流行病学特征分析

Epidemiological analysis of leprosy in Puning city,Guangdong province from 1999 to 2012

目的:探讨1999—2012年普宁市麻风流行病学待征。方法:收集1999—2012年普宁市麻风流行病学资料,对近13年来所登记在册的麻风病例的流行病学资料逐一进行调查、整理和统计。结果:1999—2012年共新发现麻风病例25例,年平均发现率为0.083/10万,其中儿童占4.0%、男性84.0%、多菌型占76%、畸残比为32%。1999—2012年共发现复发病例2例,均为氨苯砜(DDS)单药治疗后复发。2012年底全市尚有现症病例9例,患病率为0.379/10万,其中9例在接受联合化疗。结论:普宁市麻风病仍处于低流行状态,而且具有患者病程长(2年以上占48%),传染性大,畸残比高,综合医院的医生对麻风诊治知识掌握不全,漏诊严重等特点。应加强对麻风诊断及治疗的培训。

Objective： To study the epidemiologic characteristics of leprosy in Puning city from 1999 to 2012. Methods： The epidemiological data of leprosy from 1999 to 2012 in Puning city were collected. The medical records of the patients with leprosy were studied and analyzed. Results： Twenty-five new cases of leprosy were found from 1999 to 2012, the average annual incidence was 0.088/100000. Among them children accounted for 4%, male 84.0%, multibacillary cases accounted for 96%, and disability cases accounted for 32%. Two relapsed cases were found after dapsone monotherapy. There were 9 symptomatic cases till the end of 2012, the prevalence was 379/100000, they were under multi-drug therapy. Conclusion： Leprosy in Puning city is still in a state of low prevalence, and characteristics are： long course of the disease of the patients（48%〉2years）, high rate of disability, insufficient knowledge of local doctors for the diagnosis and treatment of leprosy, and misdiagnosis. Training of the local doetors should be strengthened.