2014-2015年云南省墨江县中医院钩虫病患者回顾性调查

Retrospective Study on the Patients of Mojiang Hospital of TCM

目的通过统计分析2014—01／2015—06云南省墨江县中医院钩虫病检出人数，了解钩虫病在墨江县的发病及诊治情况。方法回顾2014—01／2015—06，墨江县中医医院老年病科住院患者病历，收集钩虫病患者人院主诉，入院诊断，血色素数据；检验科检索这段时间全院检查大便常规发现钩虫卵，包括门诊患者，全院各科室住院患者，收集患者年龄，性别，在各科室分布情况，患者生活分布区域资料，各类数据统计结果采用EXCEL进行归类分析。结果回顾性调查共获得阳性病例279例，其中老年病科病例为97例。279例病例检出时间未发现明显季节性，92％为农民，患者在全院各个科室均有发现，家庭住址也散布在墨江县的各个乡镇和村寨之间，没有明显的聚集特点，女性患者占检出总人数的67％，男性患者占检出总人数的33％，年龄在50-70岁之间检出者最多，重中度贫血的阳性病例，头晕、乏力症状明显，无贫血症状患者的症状不明显。结论墨江现在仍为钩虫病的高发地区，重度贫血为最严重的表现，从患者到医院医护人员均需重视本病。

Objective Ancylostomiasis patients of Mojiang Hospital of TCM between January 2014 and June 2015 were statistically analyzed for understanding the incidence rates, diagnosis and treatment of ancylostomi- asis in Mojiang county. Methods Reviewed geriatric ancylostomiasis inpatients medical records of MoJiang Hospital of TCM in January 2014 - June 2015, collected their chief complaint, hospital diagnosis, hemoglo-bin data; retrieved hook worm eggs inspection from clinical laboratory, including outpatients, inpatients of each department, collected patients＇age, gender, based on the distribution of the various departments, the life distribution data, all kinds of data were statistically analyzed using EXCEL to classified analysis. Results This retrospective study found 279 positive cases, including 97 aging cases . The time distribution of 279 ca- ses had no obvious season characteristics, 92% patients were farmers, patients are found in each department, home addresses distributed in each town and village of MoJiang County without obvious characteristics. Female patients accounted for 67% of the total detection, male patients accounted for 33% of the total detection ; people aging between 50 and 70 years old has higher positive rate. Most heavy moderately positive cases of a- nemia have dizziness, fatigue symptoms, symptoms of patients without anemia symptoms are not obvious. Conclusion Hookworm disease still exists in Mojiang County and severe anemia is the most serious performance, so the patient and hospital medical staff all need to pay attention to the disease .