中山市住院病人华支睾吸虫感染现状调查

发布时间：2018-05-17 01:01

本文选题：华支睾吸虫 + 感染率　；参考：《中国血吸虫病防治杂志》2017年04期

【摘要】：目的以调查住院病人为基础了解中山市华支睾吸虫感染状况和流行特征。方法 2016年,以中山市23个镇区医院作为监测医院,以监测医院住院病人中在中山市居住时间超过6个月者作为监测对象,采集其粪便标本,采用改良加藤厚涂片法检查华支睾吸虫虫卵,根据中山市2016年常住人口年龄和性别构成对调查得到的华支睾吸虫感染率进行标化,对不同镇区及合并相关疾病者感染率进行分析。结果共2 667人纳入监测,镜检阳性219人,感染率为8.21%。镜检阳性人群中,男性179例,占81.74%;年龄最小4岁,最大89岁,平均(62.20±13.80)岁。经年龄和性别标化后,中山市全人群感染率为3.62%,其中男性感染率为5.46%,女性为1.53%,男性是女性的3.57倍。男、女性均呈现出年龄越大感染率越高的趋势(χ_(男性)~2=99.91、χ_(女性)~2=16.51,P均0.01)。镇区标化感染率最高为10.40%,最低为0,呈北高南低的特征。胆结石病人标化感染率为9.22%,非胆结石病人为3.40%,前者是后者的2.71倍。结论 30岁以上、患有胆结石及居住于高感染率镇区者是中山市华支睾吸虫病防控的重点人群。
[Abstract]:Objective to investigate the infection status and epidemic characteristics of Clonorchis sinensis in Zhongshan City. Methods in 2016, 23 hospitals in Zhongshan City were used as surveillance hospitals, and those patients who lived in Zhongshan City for more than 6 months were taken as the monitoring objects, and their fecal specimens were collected. The egg of Clonorchis sinensis was examined by modified Kato thick smear method. The infection rate of Clonorchis sinensis was standardized according to the age and sex composition of resident population in Zhongshan City in 2016. The infection rate of patients with different towns and associated diseases was analyzed. Results A total of 2667 people were included in the surveillance, 219 of them were positive under microscope, and the infection rate was 8.21. There were 179 males (81.74), the youngest 4 years old, the oldest 89 years old (mean 62.20 卤13.80) years old. After age and sex standardization, the infection rate of the whole population in Zhongshan City was 3.62, among which the infection rate of male was 5.46, that of female was 1.53, and that of male was 3.57 times of that of female. Both males and females showed a trend of higher infection rate as they got older (蠂 + 299.91M, 蠂 + 216.51P, P = 0.01). The highest rate of standardized infection was 10.40 and the lowest was 0, which was characterized by high in north and low in south. The standardized infection rate of gallstone patients was 9.22 and that of non-cholelithiasis patients was 3.400.The former was 2.71 times higher than the latter. Conclusion the patients over 30 years old with gallstones and living in the townships with high infection rate are the key population for the prevention and control of clonorchiasis sinensis in Zhongshan City.
【作者单位】：广东省中山市疾病预防控制中心;广东省疾病预防控制中心;
【基金】：中山市科技局医疗卫生重大专项(2015B1004)
【分类号】：R532.23

【相似文献】