CAJ | 학술논문

为了解青海省玉树县牧区中老年人群棘球蚴病流行现状，采用棘球蚴病体外快速诊断试剂盒检测、影像学检查和了解发病史的综合诊断方法，对玉树县牧区40岁以上中老年藏族人群共169位牧民进行棘球蚴病检查和流行病学社会因素调查。结果表明，阳性15人，阳性率8．9％；既往病史和本次确诊共有14人感染棘球蚴病，感染率8．3％。流行病学社会因素调查显示，82．3％的牧民知道或听说过人棘球蚴病，也见过牛羊棘球蚴，但缺乏流行病学规律的知识，预防意识淡薄。建议采取以驱除狗棘球绦虫为主的综合防治措施，减轻人、畜棘球蚴病的感染和危害。
위료해청해성옥수현목구중노년인군극구유병류행현상，채용극구유병체외쾌속진단시제합검측、영상학검사화료해발병사적종합진단방법，대옥수현목구40세이상중노년장족인군공169위목민진행극구유병검사화류행병학사회인소조사。결과표명，양성15인，양성솔8．9％；기왕병사화본차학진공유14인감염극구유병，감염솔8．3％。류행병학사회인소조사현시，82．3％적목민지도혹은설과인극구유병，야견과우양극구유，단결핍류행병학규률적지식，예방의식담박。건의채취이구제구극구조충위주적종합방치조시，감경인、축극구유병적감염화위해。
In order to understand the echinococcosis prevalence in elderly Tibetan population (more than 40 years old)in Yushu county,Echinococcus infection status was investigated by using specialized serological assay,imaging methods,and epidemiology history of local residents.Totally,169 local Tibetan residents were examined.Serum immunological examination showed 15 positive cases,and the positive rate was 8.9%.Combining with the medical history,14 cases were confirmed as infection with Echinococcus and the infection rate reached 8.3%.The social factors of epidemiology survey indicated that 82.3% of local people owned strong awareness of echinococcosis,but they didn′t understand the cause of this disease and have little knowledge to prevent.Therefore we suggested that the comprehensive measures,including ex-pelling Echinococcus adults from dogs,should be taken to decrease the infection and damage status of peo-ple and livestock,finally to control echinococcosis.