中国地方病学杂志
中國地方病學雜誌
중국지방병학잡지
CHINESE JOURNAL OF ENDEMIOLOGY
2008年
2期
213-215
,共3页
何多龙%吴献洪%刘巴睿%张静宵%马霄%刘培运%刘海青%蔡辉霞%赵延梅%刘玉芳%曾诚%王虎
何多龍%吳獻洪%劉巴睿%張靜宵%馬霄%劉培運%劉海青%蔡輝霞%趙延梅%劉玉芳%曾誠%王虎
하다룡%오헌홍%류파예%장정소%마소%류배운%류해청%채휘하%조연매%류옥방%증성%왕호
棘球蚴病%人类%流行病学研究
棘毬蚴病%人類%流行病學研究
극구유병%인류%류행병학연구
Echinococcosis%Humans%Epidemiologic studies
目的 了解青海省人体棘球蚴病(又称包虫病)流行现状,为制订防治策略提供依据.方法 用分层整群随机抽样法确定调查点.应用酶联免疫吸附试验(ELISA)检测人血清中抗包虫IgG抗体,确定感染率;用B超诊断技术行腹部包虫病筛查.结果 共调查6个县10个点5274人,查出包虫病病人95例,检出率为1.80%;检测血清3989人份,男、女感染率分别为12.01%(198/1649)和16.37%(383/2340),女性高于男性(χ2=14.78,P＜0.01);包虫病感染率、检出率总体上以藏族[18.54%(446/2405)、2.54%(78/3070)]、牧民[24.97%(239/957)、4.78%(50/1046)]和60～＜70岁年龄组[15.81%(34/215)、6.52%(18/276)]较高,地区分布以共和县[24.44%(240/982)、3.95%(41/1037)]和玉树县[20.59%(161/782)、2.99%(32/1070)]较高.结论 青海省包虫病在各调查点均有分布,病情以青南高原和环湖牧区最重.防治工作的重点仍应放在广大牧业区,主要目标人群应针对女性、藏族和牧民.
目的 瞭解青海省人體棘毬蚴病(又稱包蟲病)流行現狀,為製訂防治策略提供依據.方法 用分層整群隨機抽樣法確定調查點.應用酶聯免疫吸附試驗(ELISA)檢測人血清中抗包蟲IgG抗體,確定感染率;用B超診斷技術行腹部包蟲病篩查.結果 共調查6箇縣10箇點5274人,查齣包蟲病病人95例,檢齣率為1.80%;檢測血清3989人份,男、女感染率分彆為12.01%(198/1649)和16.37%(383/2340),女性高于男性(χ2=14.78,P＜0.01);包蟲病感染率、檢齣率總體上以藏族[18.54%(446/2405)、2.54%(78/3070)]、牧民[24.97%(239/957)、4.78%(50/1046)]和60～＜70歲年齡組[15.81%(34/215)、6.52%(18/276)]較高,地區分佈以共和縣[24.44%(240/982)、3.95%(41/1037)]和玉樹縣[20.59%(161/782)、2.99%(32/1070)]較高.結論 青海省包蟲病在各調查點均有分佈,病情以青南高原和環湖牧區最重.防治工作的重點仍應放在廣大牧業區,主要目標人群應針對女性、藏族和牧民.
목적 료해청해성인체극구유병(우칭포충병)류행현상,위제정방치책략제공의거.방법 용분층정군수궤추양법학정조사점.응용매련면역흡부시험(ELISA)검측인혈청중항포충IgG항체,학정감염솔;용B초진단기술행복부포충병사사.결과 공조사6개현10개점5274인,사출포충병병인95례,검출솔위1.80%;검측혈청3989인빈,남、녀감염솔분별위12.01%(198/1649)화16.37%(383/2340),녀성고우남성(χ2=14.78,P＜0.01);포충병감염솔、검출솔총체상이장족[18.54%(446/2405)、2.54%(78/3070)]、목민[24.97%(239/957)、4.78%(50/1046)]화60～＜70세년령조[15.81%(34/215)、6.52%(18/276)]교고,지구분포이공화현[24.44%(240/982)、3.95%(41/1037)]화옥수현[20.59%(161/782)、2.99%(32/1070)]교고.결론 청해성포충병재각조사점균유분포,병정이청남고원화배호목구최중.방치공작적중점잉응방재엄대목업구,주요목표인군응침대녀성、장족화목민.
Objective To explore the current prevalence of human echinococcosis in Qinghai Province and to lay the basis for establishing the preventing and controlling strategies.Methods Clustered random sampling was performed in selected survey spots.The enzyme-linked immunosorbent assay(ELISA)and ultrasound techniques were used for detecting human echinococcosis.Results 95 out of 5274 hydatid cases were found from 6 counties of Qinghai Province,with a prevalence of 1.80%.The immunological postitive rates examined by ELISA were 12.01%(198/1649)and 16.37%(383/2340)in male and female,respectively.The positive rate in female was significantly higher than that in male(χ2=14.78,P＜0.01).The infection and prevalence 1evels were generally increased among Tibetan[18.54%(446/2405),2.54%(78/3070)],herders[24.97%(239/957),4.78%(50/1046)]and people aged 60～＜70 years old[15.8l%(34/215),6.52%(18/276)],and were higher in Gonghe County[24.44%(240/982),3.95%(41/1037)]and Yushu County[20.59%(161/782),2.99%(32/1070)].Conclusions Echinococcosis was found in any surveyed area in Qinghai Province.The echinococcosis was severe in the pastoral areas such as the south plateau of Qinghai and places around Qinghai-lake. It is suggested that a strengthened control program should be conducted in the pastoral areas in Qinghai Province,targeting at females,Tibetan and herders people.
