国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2012年
6期
327-331
,共5页
刘新%张本光%万功群%赵长磊%王用斌%张佃波%缪峰%付兆义%卜秀芹%魏庆宽%孔祥礼%陈锡欣%石增宝%马成涛
劉新%張本光%萬功群%趙長磊%王用斌%張佃波%繆峰%付兆義%蔔秀芹%魏慶寬%孔祥禮%陳錫訢%石增寶%馬成濤
류신%장본광%만공군%조장뢰%왕용빈%장전파%무봉%부조의%복수근%위경관%공상례%진석흔%석증보%마성도
线虫感染%土源性线虫病%感染率%监测
線蟲感染%土源性線蟲病%感染率%鑑測
선충감염%토원성선충병%감염솔%감측
Nematode infection%Soil-transmitted nematodes%Infection rate%Surveillance
目的 了解山东省国家级监测点2006-2010年人群土源性线虫病感染率变化及影响因素,掌握流行规律,为制定防治策略提供科学依据.方法 对监测点常住人口土源性线虫感染情况进行调查,采用改良加藤厚涂片法检查粪便蛔虫、鞭虫和钩虫等虫卵,3～12周岁儿童加做透明胶纸肛拭法检测蛲虫虫卵.结果 2006-2010年共检查5076人次,土源性线虫感染率从2006年的27.9％降为2010年的7.2％,下降幅度达74.19％,x2检验呈逐年下降趋势(x2=189.530,P＜0.01).蛔虫和鞭虫的平均感染率分别为2.8％、14.2％,感染率均呈逐年下降趋势(x2蛔=33.448,x2鞭=160.528,P均＜0.01).钩虫感染每年仅1例或2例,无统计学意义.感染者以50岁以上和20岁以下年龄段为主,并且随年龄的增加,感染率有上升趋势(x2 =111.458,P＜0.01).以农民感染率最高,其次为学生和学龄前儿童(x2 =77.175,P＜0.01).3～ 12岁儿童蛲虫感染率2010年降为2.2％,且逐年下降(x2=11.856,P＜0.05).结论 山东省国家级监测点2006-2010年人群土源性线虫感染率呈下降趋势,老人、儿童和农民为防治的重点人群.
目的 瞭解山東省國傢級鑑測點2006-2010年人群土源性線蟲病感染率變化及影響因素,掌握流行規律,為製定防治策略提供科學依據.方法 對鑑測點常住人口土源性線蟲感染情況進行調查,採用改良加籐厚塗片法檢查糞便蛔蟲、鞭蟲和鉤蟲等蟲卵,3～12週歲兒童加做透明膠紙肛拭法檢測蟯蟲蟲卵.結果 2006-2010年共檢查5076人次,土源性線蟲感染率從2006年的27.9％降為2010年的7.2％,下降幅度達74.19％,x2檢驗呈逐年下降趨勢(x2=189.530,P＜0.01).蛔蟲和鞭蟲的平均感染率分彆為2.8％、14.2％,感染率均呈逐年下降趨勢(x2蛔=33.448,x2鞭=160.528,P均＜0.01).鉤蟲感染每年僅1例或2例,無統計學意義.感染者以50歲以上和20歲以下年齡段為主,併且隨年齡的增加,感染率有上升趨勢(x2 =111.458,P＜0.01).以農民感染率最高,其次為學生和學齡前兒童(x2 =77.175,P＜0.01).3～ 12歲兒童蟯蟲感染率2010年降為2.2％,且逐年下降(x2=11.856,P＜0.05).結論 山東省國傢級鑑測點2006-2010年人群土源性線蟲感染率呈下降趨勢,老人、兒童和農民為防治的重點人群.
목적 료해산동성국가급감측점2006-2010년인군토원성선충병감염솔변화급영향인소,장악류행규률,위제정방치책략제공과학의거.방법 대감측점상주인구토원성선충감염정황진행조사,채용개량가등후도편법검사분편회충、편충화구충등충란,3～12주세인동가주투명효지항식법검측요충충란.결과 2006-2010년공검사5076인차,토원성선충감염솔종2006년적27.9％강위2010년적7.2％,하강폭도체74.19％,x2검험정축년하강추세(x2=189.530,P＜0.01).회충화편충적평균감염솔분별위2.8％、14.2％,감염솔균정축년하강추세(x2회=33.448,x2편=160.528,P균＜0.01).구충감염매년부1례혹2례,무통계학의의.감염자이50세이상화20세이하년령단위주,병차수년령적증가,감염솔유상승추세(x2 =111.458,P＜0.01).이농민감염솔최고,기차위학생화학령전인동(x2 =77.175,P＜0.01).3～ 12세인동요충감염솔2010년강위2.2％,차축년하강(x2=11.856,P＜0.05).결론 산동성국가급감측점2006-2010년인군토원성선충감염솔정하강추세,노인、인동화농민위방치적중점인군.
Objective To understand the infection status and related factors of soil-transmitted nematodes at the national surveillance spot of Shangdong Province,and provide the scientific evidence for making the control policy.Methods Kato-Katz thick smears was applied for examining the eggs of Ascaris lumbricoides,Trichuris trichiura and hookworms in fecal samples collected among local residents,additionally,the adhesive cellophane anal swab method was used for detecting Enterobius vermicularis in children aged 3-12.Results A total of 5076 people received the examination from 2006 to 2010.The average infection rate of soil-transmitted nematodes was reduced from 27.9％ in 2006 to 7.2％ in 2010,decreased by 74.19％.The rate showed an annual decline trend by Chi-square test (x2 =189.530,P ＜ 0.01).The average infection rates of ascaris and whipworm were 2.8％ and 14.2％ respectively,and the rates showed a decline trend from 2006 to 2010 (x2a =33.448,x2w =160.528,P ＜ 0.01).The cases of hookworm were only 1 or 2 every year,and there was no statistical difference.The age group of above 50 or under 20 had the highest infection rate,and the rate showed a increasing trend with the age increase (x2 =111.458,P ＜ 0.01).The occupation with highest prevalence was peasant,followed by students and preschool children as second (x2 =77.175,P ＜0.01).The infection rate of pinworm in children aged between 3 and 12 years decreased to 2.2％ in 2010,showing a decline trend during this period (x2 =11.856,P ＜ 0.05).Conclusion The infection rate of soil-transmitted nematodes at the national surveillance spot in Shandong declined from 2006 to 2010.The key population for the control is the old people,children and peasants.
