1998-2018年陕西省麻风流行特征分析

Epidemiological characteristics of leprosy in Shaanxi Province from 1998 to 2018

目的:了解1998-2018年陕西省麻风流行趋势和流行特征,为开展麻风防治工作提供理论依据。方法:通过全国麻风防治管理信息系统(LEPMIS)收集陕西省1998-2018年麻风病历资料,对麻风发现率、患病率和病例基本情况进行描述性分析。结果:1998-2018年陕西省新发现麻风病例共计477例,年平均发现率为0.070/10万,年平均患病率为0.305/10万;病例平均发现年龄为46.71岁;男女比为2.46∶1;多菌型(MB)399例,占83.6%;II级畸残共148例,畸残率为31.03%;新发现病例平均延迟期为62.01个月。结论:陕西省新发麻风病例依然存在畸残比高、延迟期长和高龄化等情况,应进一步加强低流行状态下麻风的监测,减少传播和畸残的发生。

Objective:To investigate the epidemiological characteristics of leprosy in Shaanxi Province from 1998 to 2018,and to provide theoretical basis for the prevention and treatment of leprosy.Methods:The data of leprosy in Shaanxi Province from 1998 to 2018 were collected through the information system of leprosy management information system in China(LEPMIS),and the detection rate,prevalence rate and basic situation of leprosy cases were descriptive analyzed.Results:From 1998 to 2018,477 new cases of leprosy were diagnosed,with an annual average detection rate of 0.070/100000,and an average annual prevalence of 0.305/100000.The mean age of cases was 46.71 years old.The ratio of men to women was 2.46∶1.399 cases(83.6%)were Multibacillary type(MB).148 had grade II disability,the disability rate was(31.03%).The mean delay period of new cases was 62.01 months.Conclusion:The new leprosy cases in Shaanxi Province are still characterized by high disability ratio,long delay period and advanced age.The monitoring of leprosy should be further strengthened to reduce the transmission and occurrence of disability.