中国血吸虫病防治杂志
中國血吸蟲病防治雜誌
중국혈흡충병방치잡지
CHINESE JOURNAL OF SCHISTOSOMIASIS CONTROL
2014年
4期
376-381
,共6页
王用斌%许艳%孔祥礼%张本光%卜秀芹%赵长磊%张佃波%缪峰%陈锡欣%万功群%黄炳成
王用斌%許豔%孔祥禮%張本光%蔔秀芹%趙長磊%張佃波%繆峰%陳錫訢%萬功群%黃炳成
왕용빈%허염%공상례%장본광%복수근%조장뢰%장전파%무봉%진석흔%만공군%황병성
肠道寄生虫%感染%认知行为%胶东地区
腸道寄生蟲%感染%認知行為%膠東地區
장도기생충%감염%인지행위%효동지구
Intestinal parasite%Infection%Knowledge and behavior%Jiaodong area
目的：了解山东省胶东地区肠道寄生虫感染及相关认知行为现状，为制定现阶段相应的防治策略提供科学依据。方法按照分层抽样法，选择胶东地区6个县的18个村作为调查点。采用改良加藤厚涂片法（Kato-Katz）检测调查点≥3岁常住居民粪便中的常见肠道寄生虫虫卵，12岁以下儿童以透明胶纸肛拭法检查蛲虫卵。每调查点随机抽取50户家庭，采用结构式问卷调查家庭基本情况及居民寄生虫病防治知识知晓和卫生行为形成情况等。结果粪检6163人，肠道寄生虫总感染率6.91%，其中鞭虫、蛔虫、钩虫感染率分别为6.56%、0.62%、0.21%；12岁以下儿童蛲虫感染率为0.51%；未检测到华支睾吸虫、带绦虫等其他虫卵。人群寄生虫病防治知识知晓率为49.54%；饭前洗手、便后洗手、生吃瓜果蔬菜洗净、下地干农活不光脚、不喝生水等健康行为形成率分别为97.78%、91.95%、88.81%、92.42%、86.48%。结论胶东地区人群肠道寄生虫感染水平较低，但地区间差异较大；寄生虫病防治知识知晓率不高，但卫生行为形成情况较好。应加强健康教育及重点人群服药，积极推进农村改水改厕工程，尽快降低肠道寄生虫病的危害。
目的：瞭解山東省膠東地區腸道寄生蟲感染及相關認知行為現狀，為製定現階段相應的防治策略提供科學依據。方法按照分層抽樣法，選擇膠東地區6箇縣的18箇村作為調查點。採用改良加籐厚塗片法（Kato-Katz）檢測調查點≥3歲常住居民糞便中的常見腸道寄生蟲蟲卵，12歲以下兒童以透明膠紙肛拭法檢查蟯蟲卵。每調查點隨機抽取50戶傢庭，採用結構式問捲調查傢庭基本情況及居民寄生蟲病防治知識知曉和衛生行為形成情況等。結果糞檢6163人，腸道寄生蟲總感染率6.91%，其中鞭蟲、蛔蟲、鉤蟲感染率分彆為6.56%、0.62%、0.21%；12歲以下兒童蟯蟲感染率為0.51%；未檢測到華支睪吸蟲、帶縚蟲等其他蟲卵。人群寄生蟲病防治知識知曉率為49.54%；飯前洗手、便後洗手、生喫瓜果蔬菜洗淨、下地榦農活不光腳、不喝生水等健康行為形成率分彆為97.78%、91.95%、88.81%、92.42%、86.48%。結論膠東地區人群腸道寄生蟲感染水平較低，但地區間差異較大；寄生蟲病防治知識知曉率不高，但衛生行為形成情況較好。應加彊健康教育及重點人群服藥，積極推進農村改水改廁工程，儘快降低腸道寄生蟲病的危害。
목적：료해산동성효동지구장도기생충감염급상관인지행위현상，위제정현계단상응적방치책략제공과학의거。방법안조분층추양법，선택효동지구6개현적18개촌작위조사점。채용개량가등후도편법（Kato-Katz）검측조사점≥3세상주거민분편중적상견장도기생충충란，12세이하인동이투명효지항식법검사요충란。매조사점수궤추취50호가정，채용결구식문권조사가정기본정황급거민기생충병방치지식지효화위생행위형성정황등。결과분검6163인，장도기생충총감염솔6.91%，기중편충、회충、구충감염솔분별위6.56%、0.62%、0.21%；12세이하인동요충감염솔위0.51%；미검측도화지고흡충、대조충등기타충란。인군기생충병방치지식지효솔위49.54%；반전세수、편후세수、생흘과과소채세정、하지간농활불광각、불갈생수등건강행위형성솔분별위97.78%、91.95%、88.81%、92.42%、86.48%。결론효동지구인군장도기생충감염수평교저，단지구간차이교대；기생충병방치지식지효솔불고，단위생행위형성정황교호。응가강건강교육급중점인군복약，적겁추진농촌개수개측공정，진쾌강저장도기생충병적위해。
Objective To understand the status of intestinal parasitic infections and the related knowledge and behavior in residents of Jiaodong area of Shandong Province,so as to provide the evidence for making an appropriate preventive and control strategy. Methods A total of 18 villages from 6 counties in Jiaodong area were selected as investigation sites according to the stratified sampling method. The feces samples of the permanent residents aged above 3 years were collected and examined by Kato-Katz technique to find the intestinal parasite eggs,and the children under 12 years old were examined by the method of cellophane anal swab to detect the Enterobius vermicularis eggs. In addition,50 households in each survey sites were randomly selected to in-vestigate the basic family situation and the condition of awareness on prevention knowledge and formation of correct behavior of res-idents by using a structured questionnaire. Results Totally 6 163 residents involved in the feces examinations,and the total in-fection rate of intestinal parasites was 6.91%. The infection rates of Trichuris trichiura,Ascaris lumbricoides and hookworm were 6.56%,0.62%and 0.21%,respectively. The infection rate of E. vermicularis in children under 12 years old was 0.51%. The eggs of Clonorchis sinensis and Taenia solium were not found in this survey. The awareness rate of knowledge about preventing parasitic diseases was 49.54%. The formation rates of washing hands before eating,washing hands after using the toilet,never eating raw fruit and vegetable without washing clean,never working in the field with bare feet,and never drinking unboiled water were 97.78%,91.95%,88.81%,92.42%and 86.48%respectively. Conclusions The infection rate of intestinal parasites is low in Ji-aodong area,but there is a significant difference among different counties. The awareness rate of knowledge about preventing para-sitic diseases is low,but the formation rate of healthy behavior is high. In the future,the health education and the strategy of tak- ing medicine among the key population should be enhanced,and the project of reconstructing safe water supply and lavatory should be advanced.
