东兰县1955-2014年麻风病流行状况与防治成效分析

An Analytical Study on the Epidemic and Treatment of Leprosy in Donglan County from 1955 to 2014

目的:探讨东兰县麻风病流行规律,更好指导麻风病防治工作,为消除麻风病危害规划(2011-2020年)提供科学依据。方法:收集1955-2014年12月东兰县麻风病资料,进行整理分析。结果:全县累计发现麻风病人共206例,其中多菌型99例,少菌型107例,累计临床治愈157例,愈前死亡41例,愈前失踪1例,外迁4例,复发11例,复发再愈11例,尚有现症病人3例。发病率由最高年份1959年的15.27/10万,降到2014年的0.33/10万,下降幅度97.83%。发现率由最高年份1958年的10.25/10万,降到2014年的0.67/10万,下降幅度93.46%。患病率由最高年份1975年的36.84/10万,降到2014年的1/10万,下降幅度97.28%。结论:随着麻风病防治工作的不断深入开展,通过多种形式的发现和有效治疗,东兰县麻风病流行呈持续下降趋势,控制成效显著,防治成果继续得到巩固。

Objective：The paper looks at the epidemic of leprosy in Donglan County in an attempt to provide effective treatment for the disease and scientific evidence for the Leprosy Elimination Plan（2011-2020）.Methods：The data in use was sourced from the county＇s leprosy archives from 1955 to the end of 2014.Results：An accumulative number of206 lepers were found in the county,among whom 99 were multibacillary cases and others were paucibacillary cases.157 of the cases were clinically cured,41 dead,1missing,and 4moving away.As for those who had a relapse,11 cases had recovered while 11 other cases still suffered.Besides,3cases were recently diagnosed with the disease.Leprosy morbidity reached its peak of 15.27/100 000 in 1959and dropped to 0.33/100 000 by 97.83%in 2014.Likewise,case finding rate reached its peak of 10.25/100 000 in 1958and dropped to 0.67/100 000 by 93.46%in 2014.In addition,prevalence rate reached its peak of 36.84/100 000 in 1975and dropped to 1/100 000 by 97.28%in 2014.Conclusion：In brief,constant efforts have been made to prevent and cure leprosy in Donglan County with various ways of case finding and successful treatment,and,as a result,epidemic of the disease has been in steady decline and kept under effective control.