青海省黄南藏族自治州棘球蚴病流行情况调查

发布时间：2018-06-06 20:33

本文选题：青海 + 黄南　；参考：《中国寄生虫学与寄生虫病杂志》2017年05期

【摘要】：为了解青海省黄南藏族自治州棘球蚴病的流行情况,于2012年6-8月,在青海黄南藏族自治州河南县、泽库县、尖扎县、同仁县等4县各随机抽取2~3个乡(镇),对1岁以上常住居民进行B超检查,调查人群患病情况。采用内脏剖检法调查羊棘球蚴病情况,ELISA检测现场随机采集的无主犬棘球绦虫粪抗原。结果显示,B超检查共11 231人,检出棘球蚴病患者77例,患病率为0.69%。不同地区中以泽库县棘球蚴病患病率最高,为2.12%(68/3 213),其次为河南县(0.26%,9/3 430)。女性棘球蚴病患病率为0.72%(44/6 094),略高于男性的0.64%(33/5 137)。各职业人群中以牧民棘球蚴病患病率最高,为0.83%(61/7 338)。不同年龄组中以50~59岁、60~69岁和30~39人群棘球蚴病患病率较高,分别为1.25%(9/721)、1.96%(13/663)和0.91%(24/2 637)。不同文化程度中以文盲和小学文化程度人群棘球蚴病患病率较高,分别为0.66%(18/2 709)和0.79%(59/7 432)。不同居住方式以冬季定居夏季游牧人群棘球蚴病患病率最高,为1.10%(70/6 391),其次为游牧人群(0.62%,6/965)。不同地区、年龄段、居住方式及文化程度间的患病率差异有统计学意义(P0.05),但不同性别、职业间差异无统计学意义(P0.05)。共检查羊3 525头,棘球蚴检出率为2.13%(75/3 525)。不同地区的羊棘球蚴检出率间差异有统计学意义(P0.05)。采集无主犬粪共1 282份,棘球绦虫粪抗原阳性率为11.70%(150/1 282)。不同地区的犬粪抗原阳性率间差异有统计学意义(P0.05)。提示黄南州人群棘球蚴病患病率较高,羊棘球蚴检出率和无主犬棘球绦虫粪抗原阳性率较高。
[Abstract]:In order to understand the epidemic situation of echinococcosis in Huangnan Tibetan Autonomous Prefecture of Qinghai Province, 6-8 townships (towns) were randomly selected from 4 counties, such as Henan County, Zeku County, Jianzha county and Tongren County, Qinghai Huangnan Tibetan Autonomous Prefecture, in 6-8 months of 2012, and checked the population of the residents over 1 years old to investigate the prevalence of echinococcosis. The results showed that 11231 people were detected by ELISA and 77 cases of echinococcosis were detected by B ultrasound. The prevalence rate of echinococcosis in Zeku county was the highest in different areas of 0.69%., 2.12% (68/3 213), followed by Henan county (0.26%, 9/3 430). The prevalence rate of echinococcosis was 0.72% (4). 4/6 094) was slightly higher than that of male 0.64% (33/5 137). The prevalence of echinococcosis in herdsmen was the highest among all occupational groups, 0.83% (61/7 338). The prevalence of echinococcosis in people of 50~59 years, 60~69 and 30~39 was higher, 1.25% (9/721), 1.96% (13/ 663) and 0.91% (24/2 637), respectively, with illiteracy and primary school culture in different cultural degrees. The prevalence rate of echinococcosis was 0.66% (18/2 709) and 0.79% (59/7 432), respectively. The incidence of echinococcosis in summer nomadic people with different living styles was the highest, 1.10% (70/6 391), followed by nomadic people (0.62%, 6/965). P0.05, but there was no significant difference between different sexes (P0.05). The detection rate of echinococcosis was 2.13% (75/3 525). There were significant differences in the detection rate of echinococcosis in different regions (P0.05). The positive rate of Echinococcus faecalis was 11.70% (150/1 282), and the fecal antigen of Echinococcus was 11.70% (150/1 282). The difference between the positive rates of antigen positive rates was statistically significant (P0.05). It was suggested that the prevalence rate of echinococcosis in Huangnan population was higher, the rate of echinococcosis and the positive rate of fecal antigen of Echinococcus canis were higher.
【作者单位】：青海省地方病预防控制所;
【基金】：国家自然科学基金(No.81160333)~~
【分类号】：R181.81;R532.32

【相似文献】