CAJ | 학술논문

目的分析2005-2010年浙江省人群土源性线虫病感染状况和变化趋势,为制定防治策略提供科学依据.方法在浙江省设立衢江区、平湖市、景宁县、开化县、松阳县等5个监测点,以当地居民为监测对象,收集监测对象的粪便样本,采用改良加藤厚涂片法(Kato-Katz)检查蛔虫卵、鞭虫卵、钩虫卵,3～12周岁儿童加做透明胶纸肛拭法检查蛲虫卵.根据2005-2010年土源性线虫病监测数据进行分析.结果累计粪检7 442人,2005-2010年土源性线虫的感染率依次为1.30％、2.36％、6.07％、8.08％、4.80％和1.19％.2010年土源性线虫感染率低于2006-2009年(x2=4.553,P＜0.05；x2=58.023,P＜0.01;x2=94.399,P＜ 0.01;x2=45.855,P＜ 0.01).开化县2010年土源性线虫感染率低于2007-2009年(x2=108.957,P＜ 0.01;x2=116.892,P＜ 0.01；x2=43.394,P＜0.01)；景宁县2008年土源性线虫感染率高于2006年及2007年(x2=4.376,P＜0.05; x2=4.858,P＜0.05),两县都以钩虫感染为主.结论浙江省土源性线虫总感染率呈下降趋势,但部分地区钩虫感染率仍较高,浙江省土源性线虫病流行基本得到有效控制.
목적 분석2005-2010년절강성인군토원성선충병감염상황화변화추세,위제정방치책략제공과학의거.방법 재절강성설립구강구、평호시、경저현、개화현、송양현등5개감측점,이당지거민위감측대상,수집감측대상적분편양본,채용개량가등후도편법(Kato-Katz)검사회충란、편충란、구충란,3～12주세인동가주투명효지항식법검사요충란.근거2005-2010년토원성선충병감측수거진행분석.결과 루계분검7 442인,2005-2010년토원성선충적감염솔의차위1.30％、2.36％、6.07％、8.08％、4.80％화1.19％.2010년토원성선충감염솔저우2006-2009년(x2=4.553,P＜0.05；x2=58.023,P＜0.01;x2=94.399,P＜ 0.01;x2=45.855,P＜ 0.01).개화현2010년토원성선충감염솔저우2007-2009년(x2=108.957,P＜ 0.01;x2=116.892,P＜ 0.01；x2=43.394,P＜0.01)；경저현2008년토원성선충감염솔고우2006년급2007년(x2=4.376,P＜0.05; x2=4.858,P＜0.05),량현도이구충감염위주.결론 절강성토원성선충총감염솔정하강추세,단부분지구구충감염솔잉교고,절강성토원성선충병류행기본득도유효공제.
Objective To analyze the current status and trends of the soil-transmitted nematode infections in Zhejiang Province from 2005 to 2010 and provide scientific evidence for the prevention and control strategy.Methods Stool samples were collected from local residents recruited from Qujiang,Pinghu,Jingning,Kai hua and Songyang in Zhejiang Province.Modified Kato-Katz method was used to examine eggs of Ascaris,hookworm,Trichuris trichiura,and the method of cellaphane analswab was used to examine eggs of Enterobius for 3-12years old children.The surveillance data of soil-transmitted nematodes from 2005 to 2010 were collected and analyzed.Results Fecal smears examination was conducted on 7 442 people cumulatively,the infection rate of soil-transmitted nematodes was 1.30％,2.36％,6.07％,8.08％,4.80％ and 1.19％ from 2005 to 2010,respectively.The infection rate of soil-transmitted nematodes was significantly lower in 2010 than those from 2006 to 2009(x2=4.553,P ＜ 0.05;x2=58.023,P ＜ 0.01;x2=94.399,P ＜ 0.01;x2=45.855,P ＜ 0.01).The infection rate in Kaihua was significantly lower in 2010 than those from 2007 to 2009 (x2=108.957,P ＜ 0.01;x2=116.892,P ＜0.01;x2 =43.394,P ＜ 0.01),and the infection rate in Jingning was significantly higher in 2008 than the results of 2006 and 2007 (x2 =4.376,P ＜ 0.05;x2 =4.858,P ＜ 0.05).The infection of hookworm was the main type of infection in the two areas.Conclusion The overall infection rate of soil-transmitted nematodes showed a decline trend in Zhejiang Province,but the infection rate of hookworm was still high in some areas.The epidemic situation of soil-transmitted nematodes has been controlled basically in Zhejiang Province.