甘南藏族自治州麻风病流行病学特征分析

发布时间：2018-06-30 10:26

本文选题：麻风病 + 流行病学特征　；参考：《疾病预防控制通报》2016年06期

【摘要】：目的掌握甘肃省甘南藏族自治州(简称甘南州)麻风病的流行特点和防治效果,为实现《消除麻风病危害规划》目标提供理论依据。方法对1949─2014年甘南州960例麻风病患者,根据病历情况按《麻风病防治手册》标准进行诊断,依马德里分类法分类定型,整理汇总历年的防治资料并进行流行病学分析。结果 1949─2014年甘南州累计发现麻风病患者960例,分布在8个县(市)82个乡(镇)409个自然村,迭部县病例最多(216例、占22.50%),碌曲县次之(174例、占18.13%),差异有统计学意义(χ2=1 079.70,P0.01);1950─1954年发病率最高为13.12/10万,2005─2009年最低为0.03/10万,差异有统计学意义(χ2=433.22,P0.01);1955─1959年发现率最高为17.16/10万,2010─2014年最低为0.03/10万;1964年底患病率最高为8.39/万,2011年底最低为0.01/万;发病类型以瘤型麻风为主(744例、占77.50%),男性发病高于女性,差异有统计学意义(χ2=52.43,P0.01);藏族发病高于汉族,差异有统计学意义(χ2=209.41,P0.01);发病年龄以15~45岁组人群为主(758例、占78.96%),职业以农牧民为主(929例、占96.77%)。结论甘南州60余年麻风病防治成效显著,有效地控制了全州麻风病的流行,为如期实现《消除麻风病危害规划2011─2020年》目标,还需进一步落实各项防治措施。
[Abstract]:Objective to understand the epidemic characteristics and control effect of leprosy in Gannan Tibetan Autonomous Prefecture of Gansu Province, and to provide theoretical basis for realizing the goal of eliminating Leprosy hazards. Methods 960 cases of leprosy patients in Gannan state in 1949-2014 were diagnosed according to the criteria of "manual for the prevention and control of leprosy" according to the medical records, classified and finalized according to Madrid classification, collected the data of prevention and control in previous years and analyzed the epidemiology. Results in 1949, 960 cases of leprosy were found in Gannan State in 2014, distributed in 82 townships (towns) in 8 counties (cities) in 409 natural villages, with the largest number of cases (216 cases, accounting for 22.50%) in Dibu County, followed by Luqu County (174 cases). It was 18.13%, and the difference was statistically significant (蠂 2 079. 70, P0.01) in 1954, the highest incidence rate was 13. 12 / 100, 000 in 2005, the lowest in 2009 was 0. 03 / 100, 000. The difference was statistically significant (蠂 2 + 433.22 P 0.01) in 1955 the highest detection rate in 1959 was 17.16% 100 thousand dollars, and the lowest prevalence rate in 2014 was 0.03 / 100 000, and the highest prevalence rate at the end of 1964 was 8.39 / 10000, and the lowest prevalence rate was 0.01 / 10,000 at the end of 2011. The predominant type of disease was leprosy (744 cases, or 77.50%), and the incidence of leprosy in men was higher than that in women. The incidence rate of Tibetan was higher than that of Han nationality (蠂 2 / 49.41 / P 0.01), the age of onset was 758 cases (758 cases, 78.96%) and the occupation was mainly farmers and herdsmen (929 cases, 96.77%), the age of onset was 758 cases (758 cases) and the occupation of herdsmen (929 cases, 96.77%). Conclusion the control effect of leprosy in Gannan Prefecture has been remarkable for more than 60 years, which has effectively controlled the prevalence of leprosy in the whole state. In order to realize the goal of "eliminating Leprosy harm Program 2011-2020" on schedule, further measures should be implemented.
【作者单位】：甘肃省甘南藏族自治州疾病预防控制中心;
【分类号】：R755;R181.3

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