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
2014年
3期
125-128
,共4页
王友斌%徐肇纲%贺正文%曹淳力
王友斌%徐肇綱%賀正文%曹淳力
왕우빈%서조강%하정문%조순력
晚期血吸虫病%患者%行为因素
晚期血吸蟲病%患者%行為因素
만기혈흡충병%환자%행위인소
Advanced schistosomiasis%Patient%Behavior factor
目的 通过对晚期血吸虫病患者行为因素分析,为科学控制晚期血吸虫病发展提供依据. 方法 选择湖沼型血吸虫病重度流行区的湖北省公安县2009 2013年确诊的晚期血吸虫病患者为研究对象.采用病案调查和个人问讯方法,调查内容有个人基本情况、晚期血吸虫病类型、治疗行为和疫水接触情况. 结果 公安县2009 2013年确诊晚期血吸虫病患者149例.其中,男性占67.11％ (100/149),女性占32.89％ (49/149);年龄主要集中在40 ～49、50 ～59岁,分别为36.24％(54/149)和30.20％ (45/149);教育程度以小学为主,为63.76％ (95/149);职业以农民和渔民为主,分别为83.89％ (125/149)和12.75％ (19/149).疾病类型中,巨脾型为83.89％ (125/149),腹水型为15.44％ (23/149)、结肠增殖型为0.67％ (1/149).在149例患者中,有38.3％ (57/149)的患者未接受过治疗,未接受治疗的男性多于女性,差异有统计学意义(x2=4.249,P＜0.05);61.7％ (92/149)接受过治疗的患者中,治疗次数在1～5次,平均治疗次数为1.62次/人.90.6％ (153/149)的患者因农业生产和捕鱼等生产性接触疫水,游泳等娱乐性接触疫水和生活性接触疫水均占4.7％ (7/149,7/149).每年生产性接触疫水的天数多在31～120 d,生活性接触疫水的天数多超过120 d,每年游泳等娱乐性接触疫水的天数少于30d.结论 应加强对长期生产性接触疫水人群的血吸虫病知识健康教育,进行行为干预和病情筛查以控制病情迁延.
目的 通過對晚期血吸蟲病患者行為因素分析,為科學控製晚期血吸蟲病髮展提供依據. 方法 選擇湖沼型血吸蟲病重度流行區的湖北省公安縣2009 2013年確診的晚期血吸蟲病患者為研究對象.採用病案調查和箇人問訊方法,調查內容有箇人基本情況、晚期血吸蟲病類型、治療行為和疫水接觸情況. 結果 公安縣2009 2013年確診晚期血吸蟲病患者149例.其中,男性佔67.11％ (100/149),女性佔32.89％ (49/149);年齡主要集中在40 ～49、50 ～59歲,分彆為36.24％(54/149)和30.20％ (45/149);教育程度以小學為主,為63.76％ (95/149);職業以農民和漁民為主,分彆為83.89％ (125/149)和12.75％ (19/149).疾病類型中,巨脾型為83.89％ (125/149),腹水型為15.44％ (23/149)、結腸增殖型為0.67％ (1/149).在149例患者中,有38.3％ (57/149)的患者未接受過治療,未接受治療的男性多于女性,差異有統計學意義(x2=4.249,P＜0.05);61.7％ (92/149)接受過治療的患者中,治療次數在1～5次,平均治療次數為1.62次/人.90.6％ (153/149)的患者因農業生產和捕魚等生產性接觸疫水,遊泳等娛樂性接觸疫水和生活性接觸疫水均佔4.7％ (7/149,7/149).每年生產性接觸疫水的天數多在31～120 d,生活性接觸疫水的天數多超過120 d,每年遊泳等娛樂性接觸疫水的天數少于30d.結論 應加彊對長期生產性接觸疫水人群的血吸蟲病知識健康教育,進行行為榦預和病情篩查以控製病情遷延.
목적 통과대만기혈흡충병환자행위인소분석,위과학공제만기혈흡충병발전제공의거. 방법 선택호소형혈흡충병중도류행구적호북성공안현2009 2013년학진적만기혈흡충병환자위연구대상.채용병안조사화개인문신방법,조사내용유개인기본정황、만기혈흡충병류형、치료행위화역수접촉정황. 결과 공안현2009 2013년학진만기혈흡충병환자149례.기중,남성점67.11％ (100/149),녀성점32.89％ (49/149);년령주요집중재40 ～49、50 ～59세,분별위36.24％(54/149)화30.20％ (45/149);교육정도이소학위주,위63.76％ (95/149);직업이농민화어민위주,분별위83.89％ (125/149)화12.75％ (19/149).질병류형중,거비형위83.89％ (125/149),복수형위15.44％ (23/149)、결장증식형위0.67％ (1/149).재149례환자중,유38.3％ (57/149)적환자미접수과치료,미접수치료적남성다우녀성,차이유통계학의의(x2=4.249,P＜0.05);61.7％ (92/149)접수과치료적환자중,치료차수재1～5차,평균치료차수위1.62차/인.90.6％ (153/149)적환자인농업생산화포어등생산성접촉역수,유영등오악성접촉역수화생활성접촉역수균점4.7％ (7/149,7/149).매년생산성접촉역수적천수다재31～120 d,생활성접촉역수적천수다초과120 d,매년유영등오악성접촉역수적천수소우30d.결론 응가강대장기생산성접촉역수인군적혈흡충병지식건강교육,진행행위간예화병정사사이공제병정천연.
Objective To analyze the behavior factors of advanced schistosomiasis cases for the reference of scientifically controlling the development of advanced schistosomiasis.Methods The advanced schistosomiasis cases from Gongan County,Hubei Province,where was heavily schistosomiasis endemic area of lake region,were selected for investigation during 2009-2013.The case study and questionnaire were implemented,the investigation content included demographic information,type of advanced schistosomiasis cases,history of treatment and endemic water contact.Results Totally 149 advanced schistosomiasis cases of Gongan County were diagnosed during 2009-2013.In 149 cases,male was 67.11％(100/149) and female was 32.89％(49/149); the main age groups were 40-49 of 36.24％(54/149) and 50-59 of 30.20％(45/149).Among them,the main educational level was primary school of 63.76％ (95/149).As to the occupational distribution,83.89％ (125/149) and 12.75％ (19/149) were famer and fisherman.Cases with splenomegaly made up 83.89％ (125/149),while with ascitis 15.44％ (23/149) and colonic granulomatous 0.67％ (1/149).In 149 cases,38.3％ (57/149) never received treatment.The amount of male without treatment was more than that of female with statistical significance(x2=4.249,P＜0.05).Among 61.7％(92/149)with treatment cases,1-5 times of treatment were carried out,the average was 1.62/person.90.6％ (153/149)cases were endemic water contact due to agricultural activity such as farming and fishing,endemic water contact due to swimming and daily-life activity were 4.7％ and 4.7％(7/149,7/149).The annual days of endemic water contact for agricultural activity were 31～120 d,for daily-life activity was more than 120 d and for swimming was less than 30 d.Conclusion The control measures of schistosomiasis control and prevention education,behavior intervention and illness status screening should be strengthened in the population of agricultural activity with long-term endemic water contact so at to control the development of advanced schistosomiasis.
