CAJ | 학술논문

　　目的比较和分析广西壮族自治区3类不同区域流动人口感染疟疾结果，以确定哪类流动人群感染疟疾风险较高，为疟疾控制后期监测提供科学依据。方法收集2001～2011年广西109个县（市、区）疟疾疫情资料和流动人口监测资料，采用流行病学方法，对全区流动人口疟疾发病情况、病例感染来源等进行描述和统计分析。结果2001~2011年，广西共检查国际间流动返回人员4189人次，省际间流动返回人员216570人次，省内县际间流动人员122046人次，3类不同区域流动返回人员疟原虫血检阳性率分别为11.053%（463/4189）、0.378%(818/216570)和0.069%(85/122046)；检查来自国外人员1530人次、省外人员98548人次，省内县际间人员203921人次，3类外来人员血检阳性率分别为2.026%（31/1530）、0.201%(198/98548)和0.047%（96/20392）。共检出1691例疟疾病例，其中本地感染病例占10.70%（181/1691），外省感染返回病例占60.08%（1016/1691）,国外病例占29.21%（494/1691）。结论广西疟疾发病持续控制在1/万以下，当前疟疾发病以境外输入性疟疾为主，恶性疟病例呈增多趋势。到非洲和东南亚国家务工人员感染疟疾风险高，应加强对非洲和东南亚地区务工返回人员疟疾监测和管理，及时采血镜检，阳性者和可疑者及时规范治疗。
　　목적비교화분석엄서장족자치구3류불동구역류동인구감염학질결과，이학정나류류동인군감염학질풍험교고，위학질공제후기감측제공과학의거。방법수집2001～2011년엄서109개현（시、구）학질역정자료화류동인구감측자료，채용류행병학방법，대전구류동인구학질발병정황、병례감염래원등진행묘술화통계분석。결과2001~2011년，엄서공검사국제간류동반회인원4189인차，성제간류동반회인원216570인차，성내현제간류동인원122046인차，3류불동구역류동반회인원학원충혈검양성솔분별위11.053%（463/4189）、0.378%(818/216570)화0.069%(85/122046)；검사래자국외인원1530인차、성외인원98548인차，성내현제간인원203921인차，3류외래인원혈검양성솔분별위2.026%（31/1530）、0.201%(198/98548)화0.047%（96/20392）。공검출1691례학질병례，기중본지감염병례점10.70%（181/1691），외성감염반회병례점60.08%（1016/1691）,국외병례점29.21%（494/1691）。결론엄서학질발병지속공제재1/만이하，당전학질발병이경외수입성학질위주，악성학병례정증다추세。도비주화동남아국가무공인원감염학질풍험고，응가강대비주화동남아지구무공반회인원학질감측화관리，급시채혈경검，양성자화가의자급시규범치료。
Objective To compare and analyze the monitoring result of malaria infection in migrant population in differentia areas of Guangxi Zhuang Autonomous Region from 2001 to 2011, so as to know the high risk factors of malaria infection and provide scientific basis for malaria surveillance at the later-stage of malaria control. Methods The data of malaria situation and migrant population in 109 counties in Guangxi from 2001 to 2011 were collected and analyzed. Results A total of 4 189, 216 570 and 122 046 slides of return population and 1 530, 98 548 and 203 921 blood smear slides of migrant population were examined and the average positive rates of blood examinations were 11.053%(463/4 189)、0.378%(818/216 570) and 0.069%(85/122 046) in returned persons from overseas, other provinces and migrant in Guangxi respectively,and the those of immigrants were 2.026%(31/1 530), 0.201%(198/98 548) and 0.047%(103/20 392), respectively. A total of 1 691 malaria cases were detected, indigenous cases was accounted for 10.70%, returned emigrant patients with malaria from other province accounted for 60.08% (1 016/1 691) and imported malaria from other country accounted for 29.21%(494/1 691). Conclusion The malaria incidence in Guangxi has been under 1/10 000 for many years. The imported malaria case was dominated and there is increasing falciparum malaria as well. The persons returned from Africa and Southeast Asia has a high risk of malaria infection;therefore, it is necessary to strengthen the monitoring of malaria for the migrant population from high malaria prevalent areas.