CAJ | 학술논문

目的掌握三峡工程运行后鄱阳湖血吸虫病流行区居民疫水接触特征，为制定有针对性的防治对策提供参考依据。方法选择鄱阳湖2个湖沼型血吸虫病疫区村居民作为观察对象，以问卷调查方法调查居民接触疫水情况。结果鄱阳湖区居民接触疫水比例及频率较高，平均疫水接触率为69.77%，98.96%的疫水接触行为发生在春、夏、秋3个季节。成年男性以生产性接触疫水为主，主要接触方式为捕鱼和游泳/玩耍；成年女性以生活和生产性接触疫水并重，主要接触方式为洗衣和捕鱼；学生以生活和娱乐性接触疫水为主，主要接触方式为游泳/玩耍和洗手，3类人群疫水接触率分别为73.33%、71.63%和61.87%。居民接触疫水频率＞1次/周、1次/周～1次/月和<1次/月的构成比分别为62.61%、23.74%和13.66%。结论鄱阳湖区居民接触疫水主要时间段为春、夏和秋季，主要接触方式为捕鱼，种田和打草等生产性接触疫水已由过去的主要方式转变为现在的次要方式。
목적장악삼협공정운행후파양호혈흡충병류행구거민역수접촉특정，위제정유침대성적방치대책제공삼고의거。방법선택파양호2개호소형혈흡충병역구촌거민작위관찰대상，이문권조사방법조사거민접촉역수정황。결과파양호구거민접촉역수비례급빈솔교고，평균역수접촉솔위69.77%，98.96%적역수접촉행위발생재춘、하、추3개계절。성년남성이생산성접촉역수위주，주요접촉방식위포어화유영/완사；성년녀성이생활화생산성접촉역수병중，주요접촉방식위세의화포어；학생이생활화오악성접촉역수위주，주요접촉방식위유영/완사화세수，3류인군역수접촉솔분별위73.33%、71.63%화61.87%。거민접촉역수빈솔＞1차/주、1차/주～1차/월화<1차/월적구성비분별위62.61%、23.74%화13.66%。결론파양호구거민접촉역수주요시간단위춘、하화추계，주요접촉방식위포어，충전화타초등생산성접촉역수이유과거적주요방식전변위현재적차요방식。
Objective To understand the characteristics of schistosome cercarial infested water contact of residents in Poyang Lake endemic areas after the operation of Three Gorges Project,so as to provide the evidence for formulating a well-directed con-trol strategy. Methods The residents in two villages in schistosomiasis endemic areas were selected and surveyed for their activi-ties of infested water contacts by questionnaire. Results The proportion and frequency of infested water contacts of residents in Poyang Lake region were high and the average rate of infested water contacts was 69.77%,and 98.96%of infested water contacts occurred in spring,summer and autumn. The main ways of infested water contacts were fishing/swimming/playing for adult men, washing clothes/fishing for adult women,and swimming/playing for school children,respectively. The rates of infested water con-tacts were 73.33%,71.63%and 61.87%in adult men,women and school children,respectively. The frequencies of infested water contacts>1 time/week,1 time/week-1 time/month,and<1 time/month were 62.61%,23.74%and 13.66%respectively. Conclu-sions The infested water contacts mainly occurs in spring,summer and autumn,and the main way of infested water contacts was fishing. Farming and mowing grass,which had been the primary way,now become the secondary way for the adult residents.