新疆和田地区棘球蚴病流行病学调查

发布时间：2018-06-17 16:55

本文选题：棘球蚴病/包虫病 + 流行病学调查　；参考：《疾病预防控制通报》2016年06期

【摘要】：目的了解新疆和田地区棘球蚴病的流行范围和程度,为棘球蚴病防治提供依据。方法检查屠宰场屠宰的家畜脏器统计棘球蚴病感染率,采用腹部B超检查调查人群患病率,ELISA法检测6~12岁儿童血清棘球蚴病抗体并计算犬棘球绦虫成虫粪抗原阳性率。结果 B超检查19 428人,携带棘球蚴囊24人,患病率0.12%(24/19 428);检测6~12岁儿童8 014人,血清棘球蚴病抗体阳性率2.61%(209/8 014),男女抗体阳性率之比为1.07∶1(108/101),差异无统计学意义(χ2=0.57,P0.05);11岁~年龄组抗体阳性率(4.17%)高于8岁~(2.72%,χ2=4.35)、9岁~(1.84%,χ2=15.19)、10岁~(2.40%,χ2=8.00)和12岁~(1.95%,χ2=13.40)年龄组,差异有统计学意义(均P0.05);家畜调查共检查羊6 244只、感染率3.30%(206/6 244),肝、肺及其他部位囊携带比例为97∶5∶1;共采集并检测犬粪1 401只(份),粪抗原阳性率2.36%(33/1 401)。结论和田地区棘球蚴病的感染率和患病率相对较低,但家畜感染率和犬粪抗原阳性率处在相对较高的水平,应加强防治,尤其在农(牧)区和城镇居民中开展卫生宣传教育工作是十分迫切需要的。
[Abstract]:Objective to investigate the epidemic scope and extent of echinococcosis in Hetian area, Xinjiang, and to provide evidence for the prevention and treatment of echinococcosis. Methods the infection rate of Echinococcus canis in the organs of slaughterhouse was examined. The prevalence of Echinococcus canis was detected by abdominal B ultrasound and Elisa was used to detect the serum Echinococcosis antibody in children aged 6 to 12 years and to calculate the positive rate of fecal antigen of Echinococcus canis adult. Results there were 19 428 patients with hydatid cyst and 24 patients with hydatid cyst by B ultrasound, the prevalence rate was 0.1224 / 19 4280.There were 8 014 children aged 6 to 12 years old. The positive rate of serum antibodies against echinococcosis was 2.61 / 209 / 8,014g, and the ratio of antibody positive for men and women was 1.07: 110810 / 101, with no statistical significance (蠂 2 0.57 7 P 0.05 0. 05%). The positive rate of antibody was higher than that of the group of 8 years old 2.722, 蠂 2 4.359 years old 1.84, 蠂 2 15.1910 years old 2.40%, 蠂 2 8.00% and 12 years old 1.95%, 213.40%). The difference was statistically significant (all P 0.05), 6 244 sheep were examined in livestock survey, the infection rate was 3.30%, the carrying ratio of liver, lung and other parts was 97: 5: 1. A total of 1 401 dog feces were collected and detected, and the positive rate of fecal antigen was 2.36% 33% 1 401. Conclusion the infection rate and prevalence rate of echinococcosis in Hotan area are relatively low, but the infection rate of domestic animals and the positive rate of dog fecal antigen are relatively high, so the prevention and treatment should be strengthened. It is very urgent to carry out health propaganda and education in rural areas and urban residents.
【作者单位】：新疆和田地区疾病预防控制中心;新疆维吾尔自治区疾病预防控制中心;
【分类号】：R532.32;R181.3

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