CAJ | 학술논문

目的了解广西流动人口血吸虫感染情况,为制定血吸虫病监测技术方案提供科学依据.方法按照2008年卫生部血吸虫病专家咨询委员会<关于开展浙粤沪桂闽"达标"五省流动人口血吸虫病监测的通知>方案,在广西历史流行血吸虫病的19个县(市),根据整群随机抽样原则,各县(市)抽取1～3个行政村作为调查点,以≥3周岁的外来流动人口为调查对象,进行问卷调查和间接血凝试验(IHA)检测.IHA阳性者再以尼龙绢集卵孵化法结合沉渣镜检进行粪检;并在调查点采用系统抽样或环境抽样调查法查螺.结果共调查流动人口2 866人,其中来自湖南、湖北、江西、安徽、江苏、四川、云南等省份105个尚未控制血吸虫病流行县、38个疫情回升县(简称143个疫区县)1 380人,其他县份(下称非疫区县)1 486人.2 428人进行了血清学检测,血检阳性率为3.46%(84/2 428),其中来自143个疫区县的流动人口阳性率为4.67%,显著高于来自非疫区县的2.19%(P<0.01).84例血清学阳性者中60人进行了粪检,粪检结果均为阴性.查螺面积899.3 hm~2,发现有螺面积4.97 hm~2,未发现阳性钉螺.结论流动人口为广西血吸虫病潜在流行的主要传染源,需加强流动人口血防监测工作.
목적 료해엄서류동인구혈흡충감염정황,위제정혈흡충병감측기술방안제공과학의거.방법 안조2008년위생부혈흡충병전가자순위원회<관우개전절월호계민"체표"오성류동인구혈흡충병감측적통지>방안,재엄서역사류행혈흡충병적19개현(시),근거정군수궤추양원칙,각현(시)추취1～3개행정촌작위조사점,이≥3주세적외래류동인구위조사대상,진행문권조사화간접혈응시험(IHA)검측.IHA양성자재이니룡견집란부화법결합침사경검진행분검;병재조사점채용계통추양혹배경추양조사법사라.결과 공조사류동인구2 866인,기중래자호남、호북、강서、안휘、강소、사천、운남등성빈105개상미공제혈흡충병류행현、38개역정회승현(간칭143개역구현)1 380인,기타현빈(하칭비역구현)1 486인.2 428인진행료혈청학검측,혈검양성솔위3.46%(84/2 428),기중래자143개역구현적류동인구양성솔위4.67%,현저고우래자비역구현적2.19%(P<0.01).84례혈청학양성자중60인진행료분검,분검결과균위음성.사라면적899.3 hm~2,발현유라면적4.97 hm~2,미발현양성정라.결론 류동인구위엄서혈흡충병잠재류행적주요전염원,수가강류동인구혈방감측공작.
In order to understand the distribution of schistosomiasis in mobile population in Guangxi zhuang Autonomous Region, field investigation was conducted in 19 endemic villages selected by cluster sampling. The mobile people who were older than 3 years old were investigated by questionnaire and indirect hemagglutination( IHA) , then the IHA-positive ones were detected by fecal examination. Meanwhile, a snail survey was carried out. The results showed that a total of 2 866 people were investigated , among which 1 380 came from 143 endemic areas. A total of 2 428 people were involved in IHA examination with a positive rate of 3.46% , and the rate of people from endemic areas were significantly higher than that of ones from non-endemic areas( P < 0.01). Sixty people were involved in fecal examination, and the results were all negative. An area of 899. 3 hm~2 was surveyed, and the snail area was 4.97 hm~2, while none of positive snails were found. It is suggested that the mobile population is the main risk factor for potential schistosomiasis transmission in Guangxi, and the surveillance on this population should be strengthened.