2015年湖南省晚期血吸虫病治疗救助特征分析

发布时间：2018-12-14 01:12

【摘要】：目的了解2015年湖南省晚期血吸虫病(晚血)治疗救助患者的特点和分布现状,为完善晚血治疗救助政策提供参考依据。方法按照晚血治疗救助标准,对湖南省2015年在册晚血患者进行核查与确认,对符合晚血治疗救助标准者进行流行病学调查,分析比较救助患者在人口学、诊疗史及治疗救助等方面的特征。结果 2015年湖南省救治晚血患者3 850人,男性2 664人(69.19%),女性1 186人(30.81%),主要分布在岳阳、常德、益阳3个血吸虫病流行市。晚血救治患者中腹水型2 369例(61.53%),巨脾型1 466例(38.08%),结肠增殖型及侏儒型15例(0.39%);平均年龄(62.94±11.67)岁,以60岁以上高年龄人群为主(64.31%)。晚血救治患者首次确诊平均年龄(53.85±21.32)岁,主要集中在40~60岁(68.57%);平均患病年限(9.58±10.06)年,主要为10年以内(75.95%);首次确诊血吸虫病到首次确诊晚血平均历时(22.33±14.20)年。晚血救治医院以县级为主(76.57%),患者救治有效率为94.46%,享有医保(农村合作医疗、城镇医保等)者占86.57%。结论湖南省晚血救治患者数量较多,临床治愈率偏低,晚血救治任务仍然较重。腹水型、高年龄晚血患者是治疗救助的重点。
[Abstract]:Objective to investigate the characteristics and distribution of advanced schistosomiasis (late blood) patients in Hunan province in 2015 and to provide reference for improving the policy of late blood therapy and rescue. Methods according to the standard of late blood therapy, the patients with late blood in Hunan province in 2015 were checked and confirmed. The patients who met the standard of late blood therapy were investigated by epidemiology, and the demographics of the patients were analyzed and compared. History of diagnosis and treatment of relief and other aspects of the characteristics. Results in 2015, 3 850 patients with late blood were treated in Hunan Province, including 2 664 males (69.19%) and 1 186 females (30.81%), which were mainly distributed in 3 endemic cities of Yueyang, Changde and Yiyang. There were 2 369 cases (61.53%) of ascites type, 1 466 cases (38.08%) of giant spleen type, 15 cases (0.39%) of colon proliferative type and dwarf type. The average age was (62.94 卤11.67) years old, and the main age group was over 60 years old (64.31%). The average age of the first diagnosis of the patients was (53.85 卤21.32) years old, mainly in the age of 40 ~ 60 years (68.57%), the average years of illness was (9.58 卤10.06) years, mainly within 10 years (75.95%). The mean blood duration from the first diagnosis of schistosomiasis to the first diagnosis of schistosomiasis was (22.33 卤14.20) years. The late blood treatment hospital was mainly county level (76.57%), the effective rate of patient treatment was 94.46%, and 86.57% had medical insurance (rural cooperative medical insurance, urban medical insurance, etc.). Conclusion there are more patients with late blood treatment in Hunan Province, and the clinical cure rate is low, and the task of late blood treatment is still more serious. Ascites type, the high age late blood patient is the treatment relief key point.
【作者单位】：中南大学湘雅公共卫生学院;湖南省血吸虫病防治所;
【基金】：国家重大科技专项(2012ZX10004909)
【分类号】：R532.21

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