CAJ | 학술논문

目的：评价镇江市润州区人群土源性线虫病防治效果。方法在实施药物驱虫、健康教育、改水改厕为主综合防治措施的同时，开展居民土源性线虫感染监测，调查当地经济指标、自来水和无害化厕所普及率，进行防治效果评价。结果1997-2012年全区实施集体化疗累计20.21万人次，粪检阳性驱虫化疗2006人次。居民健康知识知晓率1997年为57.18%，2012年达95.62%；自来水和无害化厕所普及率1997年分别为10.14%和10.21%，2012年分别为100.0%和90.38%。居民土源性线虫感染率与人均国内生产总值和居民人均年纯收入均呈显著负相关（r人均国内生产总值=-0.526， P＜0.05；r居民人均年纯收入=-0.671，P＜0.01）；与自来水普及率、无害化厕所普及率和健康知识知晓率间也均呈显著负相关（r自来水普及率=-0.936，r无害化厕所普及率=-0.922，r健康知识知晓率=-0.774，P均＜0.01）居民土源性线虫感染率呈指数曲线下降趋势（y=42.0317e-0.3576x ，R2=0.8036，F=57.28，P=0.000）。务农人员感染率显著高于学生（χ2=17.998，P＜0.01），男、女感染率差异无统计学意义（χ2=3.627，P=0.057）。结论综合性防治措施实施及社会经济发展有助于人群土源性线虫感染率的持续下降。
목적：평개진강시윤주구인군토원성선충병방치효과。방법재실시약물구충、건강교육、개수개측위주종합방치조시적동시，개전거민토원성선충감염감측，조사당지경제지표、자래수화무해화측소보급솔，진행방치효과평개。결과1997-2012년전구실시집체화료루계20.21만인차，분검양성구충화료2006인차。거민건강지식지효솔1997년위57.18%，2012년체95.62%；자래수화무해화측소보급솔1997년분별위10.14%화10.21%，2012년분별위100.0%화90.38%。거민토원성선충감염솔여인균국내생산총치화거민인균년순수입균정현저부상관（r인균국내생산총치=-0.526， P＜0.05；r거민인균년순수입=-0.671，P＜0.01）；여자래수보급솔、무해화측소보급솔화건강지식지효솔간야균정현저부상관（r자래수보급솔=-0.936，r무해화측소보급솔=-0.922，r건강지식지효솔=-0.774，P균＜0.01）거민토원성선충감염솔정지수곡선하강추세（y=42.0317e-0.3576x ，R2=0.8036，F=57.28，P=0.000）。무농인원감염솔현저고우학생（χ2=17.998，P＜0.01），남、녀감염솔차이무통계학의의（χ2=3.627，P=0.057）。결론종합성방치조시실시급사회경제발전유조우인군토원성선충감염솔적지속하강。
Objective To evaluate the effect of comprehensive prevention and control of soil?transmitted nematodiasis in Runzhou District Zhenjiang City Jiangsu Province from 1997 to 2012. Methods The comprehensive prevention and control measures included the helminthicide health education improvement of water supplier and harmless toilets and these mea?sures were implemented continuously. At the same time the infection rates of soil?transmitted nematodes the local economic in?dicators and the coverage rates of tap water and harmless toilets were surveyed. Results The mass chemotherapy was per?formed for 202 100 person?times and the diagnosed chemotherapy was performed for 2 006 person?times in Runzhou District from 1997 to 2012. The awareness rates of health knowledge were 57.18%in 1997 and 95.62%in 2012. The coverage rates of tap water and harmless toilets were 10.14%and 10.21%in 1997 and 100.0%and 90.38%in 2012 respectively. There were negative correlations between the awareness rate of per capita GDP per capita net income coverage rates of tap water cover?age rates of harmless toilets health knowledge and the infection rate of soil?transmitted nematodes respectively rper capita GDP=-0.526 P 0.05 rper capita net income=-0.671 P 0.01 rcoverage rates of tap water=-0.936 P 0.01 rcoverage rates of harmles toilets=-0.922 P 0.01 rawarenes=-0.774 P 0.01 . The statistical analysis showed that the infection rate of soil?transmitted nematodes had a downward trend as an expo?nential curve in Runzhou District from 1997 to 2012 y=42.031 7e?0.357 6x R2=0.803 6 F=57.28 P=0.000 . The infection rate of degradation by an annual rate was 29.18%. The infection rate in farmers was significantly higher than that in students χ2=17.998 P 0.01 . There was no significant difference between men and women in the infection rate of soil?transmitted nema?todes χ2=3.627 P=0.057 . Conclusion The comprehensive prevention and control measures and the development of so?cial economy contribute to the steady decline of soil?transmitted nematode infections.