中国血吸虫病防治杂志
中國血吸蟲病防治雜誌
중국혈흡충병방치잡지
CHINESE JOURNAL OF SCHISTOSOMIASIS CONTROL
2014年
6期
693-694
,共2页
陶武明%毛远华%胡飞%宁安
陶武明%毛遠華%鬍飛%寧安
도무명%모원화%호비%저안
晚期血吸虫病%晚血救助%上高县
晚期血吸蟲病%晚血救助%上高縣
만기혈흡충병%만혈구조%상고현
Advanced schistosomiasis%Salvation of advanced schistosomiasis%Shanggao County
目的：掌握上高县晚期血吸虫病（晚血）病人现况，为晚血治疗救助工作提供参考依据。方法收集《江西省晚期血吸虫病人治疗救助信息管理系统》中上高县晚血病人数据和病历资料，对在册病人进行现场流行病学调查、体格检查、肝脾B超等核查，整理核查数据，并与4年前数据对比统计分析。结果128例晚血病人中，男女比例为2.46∶1，平均年龄68.02±6.19岁，≥65岁病人占64.84%；临床分型腹水型、巨脾型、结肠增殖型、侏儒型、普通型、出血型分别占57.81%、12.50%、2.34%、0、26.57%、0.78%。2014年B超检查显示平均门静脉主干内径为（12.70±1.91）mm，显著大于2010年检查时的（12.05±0.34）mm（t=4.19，P＜0.01）。结论上高县晚血病人年龄呈老龄化趋势，部分病人病情可能连续发展，应加强救助。
目的：掌握上高縣晚期血吸蟲病（晚血）病人現況，為晚血治療救助工作提供參攷依據。方法收集《江西省晚期血吸蟲病人治療救助信息管理繫統》中上高縣晚血病人數據和病歷資料，對在冊病人進行現場流行病學調查、體格檢查、肝脾B超等覈查，整理覈查數據，併與4年前數據對比統計分析。結果128例晚血病人中，男女比例為2.46∶1，平均年齡68.02±6.19歲，≥65歲病人佔64.84%；臨床分型腹水型、巨脾型、結腸增殖型、侏儒型、普通型、齣血型分彆佔57.81%、12.50%、2.34%、0、26.57%、0.78%。2014年B超檢查顯示平均門靜脈主榦內徑為（12.70±1.91）mm，顯著大于2010年檢查時的（12.05±0.34）mm（t=4.19，P＜0.01）。結論上高縣晚血病人年齡呈老齡化趨勢，部分病人病情可能連續髮展，應加彊救助。
목적：장악상고현만기혈흡충병（만혈）병인현황，위만혈치료구조공작제공삼고의거。방법수집《강서성만기혈흡충병인치료구조신식관리계통》중상고현만혈병인수거화병력자료，대재책병인진행현장류행병학조사、체격검사、간비B초등핵사，정리핵사수거，병여4년전수거대비통계분석。결과128례만혈병인중，남녀비례위2.46∶1，평균년령68.02±6.19세，≥65세병인점64.84%；림상분형복수형、거비형、결장증식형、주유형、보통형、출혈형분별점57.81%、12.50%、2.34%、0、26.57%、0.78%。2014년B초검사현시평균문정맥주간내경위（12.70±1.91）mm，현저대우2010년검사시적（12.05±0.34）mm（t=4.19，P＜0.01）。결론상고현만혈병인년령정노령화추세，부분병인병정가능련속발전，응가강구조。
Objective To understand the current status of advanced schistosomiasis patients, so as to provide the reference for improving the medical care of them in Shanggao County. Methods The data of advanced patients in Shanggao County were collected from the Information Management System for the Advanced Schistosomiasis Chemotherapy and Assistance in Jiangxi Province and a field survey including the epidemiological investigation physical examinations and B ultrasound examinations was performed in 2014. All the data were analyzed statistically and compared with those in 2010. Results Among the 128 ad?vanced schistosomiasis patients the male female ratio was 2.46 1 the average age was 68.02±6.19 years and the patients old?er than 65 years contributed to 64.84%for the all. The proportions of clinically types of ascites splenomegaly multiple granulo?ma in the colon dwarf general and haemorrhage were 57.81% 12.50% 2.34% 0 26.57% and 0.78% respectively. The ultrasound examinations revealed the average diameter of the main trunk of portal vein was 12.70 ± 1.91mm in 2014 which was significantly broader than that of 12.05 ± 0.34mm in 2010 P < 0.01 . Conclusions The advanced schistosomiasis patents in Shanggao County decreases with years and shows an aging trend. Some advanced schistosomiasis patients are worse therefore the chemotherapy and salvation work still should be strengthened.
