新疆南疆地区6~12岁儿童棘球蚴病患病情况调查

发布时间：2018-03-04 18:03

本文选题：新疆南疆地区　切入点：棘球蚴病　出处：《中国寄生虫学与寄生虫病杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的了解新疆南疆地区6~12岁儿童棘球蚴病患病情况,为制定相关防治策略提供科学依据。方法2012年8月-2013年9月采取整群分层抽样方法对新疆南疆5地(州)42个县(市)按照牧区、半农牧区、农区和城镇每层各抽取1所小学,在家长知情同意的情况下,对抽样小学的所有儿童(6~12岁)进行腹部B型超声检查和采集静脉血(5 ml),用ELISA检测棘球蚴病血清Ig G抗体水平。分析该年龄段儿童的棘球蚴病的患病和血清抗体阳性情况。结果共调查168所小学80 429名儿童。B超检查结果显示,棘球蚴病患病者9例,患病率为0.01%;分布在克州3例、阿克苏地区2例、巴州2例、喀什地区2例。ELISA检测结果显示,血清抗体阳性者4 189例,阳性率为5.21%,其中喀什地区儿童血清抗体阳性率最高,为8.41%(2 143/25 495),阿克苏地区次之(5.69%,913/16 051),不同地区(州)之间的差异有统计学意义(χ~2=977.303,P0.01);6岁组血清抗体阳性率最低,为2.13%(44/2 065);11岁组最高,为5.68%(822/14 462),各年龄组之间的差异有统计学意义(χ~2=48.221,P0.01);调查儿童涉及28个民族,血清抗体阳性率以维吾尔族儿童最高,为5.19%(3 899/75 115),蒙古族的次之(4.27%,68/1 592),不同民族间的差异无统计学意义(χ~2=4.072,P0.05)。生活方式以定居、游牧、冬季定居夏季游牧为主,定居儿童患病7例,冬季定居夏季游牧儿童患病2例;血清抗体阳性率分别为5.45%(4 184/77 512)、2.97%(3/101)、0.07%(2/2 816),三者差异有统计学意义(χ~2=148.609,P0.01)。结论新疆南疆地区6~12岁儿童棘球蚴病患病率较低,血清抗体阳性率在喀什地区、维吾尔族、定居儿童中较高。
[Abstract]:Objective to investigate the prevalence of echinococcosis in children aged 6 to 12 years in southern Xinjiang. Methods from August 2012 to September 2013, a cluster stratified sampling method was used to select 1 primary school from 5 counties (cities) in southern Xinjiang according to pastoral areas, semi-agricultural pastoral areas, agricultural areas and towns. With the informed consent of the parent, All the children aged 6 to 12 years in the primary school were examined by abdominal B-mode ultrasound and venous blood samples were collected. The serum IgG antibody level of echinococcosis was detected by ELISA. The prevalence of echinococcosis and serum antibody positive were analyzed in this age group. Results A total of 80,429 children were investigated in 168 primary schools. There were 9 cases of echinococcosis with a prevalence rate of 0.01, 3 in Kezhou, 2 in Aksu, 2 in Ba and 2 in Kashi. Elisa results showed that 4 189 cases were positive in serum antibody. The positive rate was 5.21. The positive rate of serum antibody in Kashi was the highest (8.41%, 2 143/25 495), and in Aksu was 5.69% (913 / 16 051). The difference between different regions (states) was statistically significant (蠂 ~ (22) 977.303 (P 0.01)). The lowest positive rate of antibody was in the age group of 2.13442.065% (P 0.01), the highest was in the age group of 2.13442,065 (11 years old). It was 5.68 / 822 / 14 462, and the difference among different age groups was statistically significant (蠂 ~ (2 / 2) 48.221) P 0.01.The positive rate of serum antibody was the highest among Uygur children. The difference among different ethnic groups was not statistically significant (蠂 ~ (2 / 2) 4.07 ~ (2) P 0.05). The life style was settled, nomadic, settled in winter, nomadic in summer, 7 cases in settled children, and 2 cases in summer. The positive rate of serum antibody was 5.455.455.4551212 / 2.970.The positive rate of serum antibody was 3 / 101 / 0.07 and 2 / 2 816, respectively. The difference was statistically significant (蠂 2 / 148.609) P 0.01.Conclusion the prevalence rate of echinococcosis in children aged 6 to 12 years old in southern Xinjiang is lower, and the positive rate of serum antibody is higher in Kashi area, Uygur nationality and settled children.
【作者单位】：新疆维吾尔自治区疾病预防控制中心;
【分类号】：R725.3;R181.3

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