粮食和中药材储存职业人群患尿螨病的调查研究

Urinary acariasis in certain occupation population: an epidemiological survey

目的探讨某省从事粮食和中药材储藏、加工的人员是否有尿螨病存在。方法 用皮肤挑刺试验和尿离心沉淀法对某省从事粮食和中药材储藏、加工等不同职业人群1994人进行尿螨病流行病学调查。结果尿螨阳检率3.46％(69/1994),其中男女性阳检率分别为3.95％(45/1140)和2.81％(24/854),男女患者之比为1.88:1,差异无显著性(P>0.05)。受检者中,从事中药材储藏加工者和从事粮食储藏加工者尿螨阳检率较高,分别为8.64％(37/428)和5.38％(22/409),与其他职业人群相比,差异有显著性(P<0.01)。受检者皮肤挑刺试验结果显示+++、++、+、±、-者分别占1.96％、2.06％、1.81％、1.25％和92.93％。结论尿螨病在某省从事粮食和中草药储藏、加工的人群中并非罕见,其患病率与患者的职业、工作环境密切相关。

Objective To study the epidemic particularity of urinary acariasis in certain province.Methods The acariada mites in urine of 1 994 persons from different occupations were detected by the methods of centrifugation and precipitaion method and skin sensitivity test simultaneously. Results The total positive rate of urinary acariasis was 3.46% (69/1 994). Among them, the positive rate of urinary acariasis in male and female were 3.95% (45/1 140), 2.81%(24/854) respectively. The ratio of male and female with urinary acariasis was 1.88:1. There was no significant difference between two sexes (P > 0.05) . The positive rates of acariasis mites in urine of the stuffs who worked in traditional Chinese medicine storehouse and commissariat storehouses were 8.64% (37/428) and 5.38% (22/409) . It seemed to have higher significant difference in the stuffs than that in the controls ( P < 0.01) . The positive rate of skin sensitivity test with '+ + +', '++', ' + ', '+', '-' were 1.96% , 2.06%, 1.81%, 1.25%, 92.93% respectively. Conclusion The incidence of urinary acariasis was closely associated with the occupations, environment and was more common in the stuffs who worked in traditional Chinese medicine storehouses and commissariat storehouses in certain province.