CAJ | 학술논문

目的了解上海市瑞金医院收治的寄生虫病住院病例病种构成、年龄分布、疾病负担等,为深入了解流行动态、探讨危害、制订防治对策提供科学依据.方法调查2007年11月至2010年6月期间瑞金医院收治的寄生虫病病例,采用统一的调查问卷,通过查病史和电话问卷相结合的方式进行调查,主要调查内容为病例一般情况、就诊情况、诊断依据、临床症状、经济损失等.结果共调查寄生虫病住院病例50例,其中人芽囊原虫病24例、阿米巴痢疾11例、疟疾7例、囊尾蚴病4例、并殖吸虫病2例、钩虫病1例、弓形虫病1例.男女之比为1.5:1.人芽囊原虫病病例10～19岁组最多,占41.67%,其次为0～4岁组和5～9岁组.阿米巴痢疾病例以10～19岁组和20～29岁组较多,分别占36.36%和27.27%.疟疾及囊尾蚴病发病均为20岁以上者.人芽囊原虫病病例约半数出现腹痛症状,1/3出现腹泻;阿米巴痢疾病例以脓血便为主;疟疾病例都出现畏寒症状,半数出现乏力、发热症状;囊尾蚴病病例以头痛、头晕为主.住院时间多在1～2周,总经济损失为382 735.2元,平均每位患者费用为7 654.70元.结论寄生虫病给患者造成较大的经济损失,是严重危害人民健康的公共卫生问题之一,必须加强对危害较大的主要寄生虫病的防治工作.
목적 료해상해시서금의원수치적기생충병주원병례병충구성、년령분포、질병부담등,위심입료해류행동태、탐토위해、제정방치대책제공과학의거.방법 조사2007년11월지2010년6월기간서금의원수치적기생충병병례,채용통일적조사문권,통과사병사화전화문권상결합적방식진행조사,주요조사내용위병례일반정황、취진정황、진단의거、림상증상、경제손실등.결과 공조사기생충병주원병례50례,기중인아낭원충병24례、아미파이질11례、학질7례、낭미유병4례、병식흡충병2례、구충병1례、궁형충병1례.남녀지비위1.5:1.인아낭원충병병례10～19세조최다,점41.67%,기차위0～4세조화5～9세조.아미파이질병례이10～19세조화20～29세조교다,분별점36.36%화27.27%.학질급낭미유병발병균위20세이상자.인아낭원충병병례약반수출현복통증상,1/3출현복사;아미파이질병례이농혈편위주;학질병례도출현외한증상,반수출현핍력、발열증상;낭미유병병례이두통、두훈위주.주원시간다재1～2주,총경제손실위382 735.2원,평균매위환자비용위7 654.70원.결론 기생충병급환자조성교대적경제손실,시엄중위해인민건강적공공위생문제지일,필수가강대위해교대적주요기생충병적방치공작.
Objective To understand the constituent ratio, distribution, cost and epidemiological starus of parasitic diseases of inpatients in Ruijin Hoopital of Shanghai, thus to provide scientific basis for formulating the strategy of prevention and control. Methods Patients with parasitic diseases at Ruijin Hoopital in Luwan District from November 2007 to June 2010 were investigated by the methods of combination of medical consulting history and telephone follow-up history data collection, questionnaires and interviews using the standardized questionaires. Results A total of 50 hoopitalized cases was investigated. Among them 24 cases were blastocystis hominis, 11 cases amebicdysentery,7 cases malaria,4 cases cysticercosis ,2 cases paragonimiasis, 1 blastocystis hominis cases were in 10～ 19 age group, 20.83% were in 0 ～4 age group and 5 ～9 age group.36.36% of amebicdysentery cases were in 10 ～ 19 age group, and 27.27 % were in 20 ～ 29 age group. All the cases of malaria and cysticercoois were above 20 years old. About half of blastocystis hominis had abdominal pain symptom, 1/3 suffered from diarrhea, the main symptoms of amebicdysentery were pus and blood stool.All the cases of malaria had chill and half had fatigue and fever, the main symptoms of cysticercosis were headache and dizziness. Most hoopitalization period was 1-2 weeks. The total expense was 382 735.2 RMB and the average for each patient was 7 654. 70 RMB. Conclusion Parasitic diseases are still seriously impacting people's health and is a major public health problem. Control activities of major parasitic diseases must be strengthened.