CAJ | 학술논문

目的分析比较云南省文山州麻风流行动态及探讨流行原因.方法依据当地上报1989、1999和2009年上半年3个时点麻风流行数据资料进行分析.结果 1989、1999和2009年上半年各阶段新登记病例数无明显变化,平均发现年龄33～35岁.疾病平均延迟期从1989年的35.2个月缩短到2009年的15.9个月,但在12个月以上者仍约占50%.2级畸残患者占15.2%～17.7%.麻风儿童患者比例从1989年的8 1%上升到2009年的13.1%."门诊发现"仍然是主要的发现方式,1999和2009年主动发现的病例数分别占44.3%和42.6%,均高于1989年的17.7%.结论云南省文山州麻风流行没有明显好转,持续高流行的原因仍然是传染源未得到有效控制.
목적 분석비교운남성문산주마풍류행동태급탐토류행원인.방법 의거당지상보1989、1999화2009년상반년3개시점마풍류행수거자료진행분석.결과 1989、1999화2009년상반년각계단신등기병례수무명현변화,평균발현년령33～35세.질병평균연지기종1989년적35.2개월축단도2009년적15.9개월,단재12개월이상자잉약점50%.2급기잔환자점15.2%～17.7%.마풍인동환자비례종1989년적8 1%상승도2009년적13.1%."문진발현"잉연시주요적발현방식,1999화2009년주동발현적병례수분별점44.3%화42.6%,균고우1989년적17.7%.결론 운남성문산주마풍류행몰유명현호전,지속고류행적원인잉연시전염원미득도유효공제.
Objective To analyze the current situation and prevalence of leprosy in Wenshan district, Yunnan province. Methods To collect various data on leprosy reported by the health workers at the county level. Results The number of newly registered patients did not decrease significantly in 1989, 1999 and 2009, respectively. The mean age of patients at detection was 33-35 years old. Time of delay between the disease onset and being diagnosed was shortened from 35.2 months in 1989 to 15.9 months in 2009. However, the proportion of patients with more than 12 months of delay still accounted for nearly 50%. The proportion of Grade II disability fluctuated between 15.2%-17.7% and the proportion of child cases increased from 8.1% in 1989 to 13.1% in 2009. Clinics for skin diseases were the main locations for case detection. The proportion of new cases detected through 'active case finding' program accounted for 44.3% in 1999 and 42.6% in 2009, both higher than 17.7% in 1989. Conclusion The situation of leprosy in Wenshan district, Yunnan province, was still serious and the reason for the occurrence of new cases was related to the fact that the infectious source of leprosy had not been under full control.