青海省玛沁县棘球蚴病流行情况调查

发布时间：2018-01-26 18:30

本文关键词： 青海省玛沁县棘球蚴病　出处：《中国寄生虫学与寄生虫病杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的掌握青海省玛沁县人体棘球蚴病感染状况,为该地区棘球蚴病防治提供依据。方法根据中华人民共和国卫生行业标准《包虫病诊断标准(WS257-2006)》,使用B超扫描和间接血凝试验对玛沁县所辖乡镇1岁以上常住居民进行棘球蚴病患病情况和血清学调查。在优云乡、当洛乡和下大武乡采集犬粪,采用ELISA法进行棘球绦虫粪抗原检测。结果B超结果显示,玛沁县人群棘球蚴病检出率为7.4%(116/1 561),细粒棘球蚴病和多房棘球蚴病检出率分别为5.3%(82/1 561)和2.2%(34/1 561)。人群血清抗体阳性率为23.8%(307/1 288)。82例细粒棘球蚴病患者中,23例棘球蚴直径10 cm,占28.1%(23/82),最大径者为18 cm。棘球蚴占位数量≥2个的患者24例,占20.7%(24/116)。玛沁县男性和女性患病率分别为5.3%(40/753)和9.4%(76/808),两者差异有统计学意义(P0.05)。各职业人群中家务、僧侣和牧民的棘球蚴病患病率较高,分别为18.0%(11/61)、12.2%(5/41)和11.1%(84/758),不同年龄组中以60岁以上和30~40岁人群棘球蚴病患病率最高,分别为18.2%(24/132)和10.3%(31/302),10岁以下儿童患病率为2.9%(18/628)。玛沁县棘球蚴病患病率最高的3个乡依次为优云乡、昌麻河乡和当洛乡,患病率分别为11.7%(29/247)、9.5%(6/63)和8.4%(54/645)。共采集犬粪199份,其中棘球绦虫粪抗原阳性54份,阳性率为27.1%(54/199),优云乡的阳性率为40.4%(23/57),显著高于其他两乡(P0.05)。结论玛沁县以细粒棘球蚴病为主、多房棘球蚴病为辅的混合流行区,以女性、家务和60岁以上人群患病率较高,地区分布上主要集中在优云乡、昌麻河乡和当洛乡。
[Abstract]:Objective to investigate the infection status of human echinococcosis in Maqin County, Qinghai Province. Methods according to the health industry standard of the people's Republic of China < diagnostic criteria of hydatid disease (WS257-2006) >. By using B-ultrasound scan and indirect hemagglutination test, the prevalence and serological investigation of echinococcosis in residents aged over 1 years in towns under Maqin County were investigated. Dog dung was collected in Youyun Township, Dangluo Township and Xiada Wu Township. ELISA method was used to detect the fecal antigen of Echinococcus Echinoides. Results the detection rate of Echinococcosis in Maqin County was 7. 4 / 156 / 1561). The positive rates of Echinococcus granulosus and hydatidosis multilocularis were 5.32 / 1561 and 2.2 / 34 / 1561, respectively. The positive rate of serum antibody was 23.8g (P < 0.05). 307/1 patients with Echinococcus granulosus. The diameter of 23 echinococci was 10 cm, accounting for 28.1%, and the largest diameter was 18 cm. There were 24 cases with more than 2 echinococci. The prevalence rate of male and female in Maqin County was 5.3 / 753 (40 / 753) and 9.4 / 76 / 808 (respectively). The difference was statistically significant (P 0.05). The prevalence of echinococcosis in monks and herdsmen was higher (18.0 / 11 / 61). 12.2The incidence of echinococcosis was the highest in people over 60 years old and 30 ~ 40 years old in different age groups (5 / 41) and 11.1% / 758% (P < 0.05). It's 18.2s / 132s and 10.3s / 31s / 302respectively. The prevalence of echinococcosis in children under 10 years old was 2.9 / 6280.The highest prevalence rate of echinococcosis in Maqin County was Youyun Township, Changmahe Township and Dangluo Township. The prevalence rate was 11.710 / 247m / 9.59.5a / 63) and 8.4% / 6450.A total of 199 dog feces were collected, 54 of which were positive for Echinococcus spp fecal antigen (Echinococcus grandiflorum) and 54 were positive for Echinococcus solium antigen (Echinococcus solium). The positive rate was 27.1 / 1990.The positive rate of Youyun Township was 40.4 / 57.The positive rate was significantly higher than that of the other two townships P0.050.Conclusion Maqin County is dominated by echinococcosis granulosus. The prevalence of multilocular-echinococcosis was higher in female, household and over 60 years old population in the mixed endemic area. The distribution was mainly concentrated in Youyun Township, Changmahe Township and Dangluo Township.
【作者单位】：青海省地方病预防控制所;青海省玛沁县疾病预防控制中心;
【基金】：国家自然科学基金(No.81160333)~~
【分类号】：R532.32
【正文快照】： (1 Qinghai Institute of Endemic Disease Prevention and Control,Xining 811602,China;2 MaqinCounty Center for Disease Control and Prevention,Maqing 814000,China)than in the other two(Ρ0.05).Conclusion Maqin county is a co-endemic area of cystic echinococ

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