CAJ | 학술논문

目的了解云缅边境地区是否存在输入或当地微丝蚴血症者,以及当地蚊虫种类和居民出入边境情况. 方法在云南省陇川县、盈江县沿云缅边境的各级医院开展线索调查,在有淋巴水肿/象皮肿、乳糜尿和鞘膜积液、睾丸炎、附睾炎、精索炎等疑似淋巴丝虫病症状患者的村,采集村民血样,涂厚血膜,镜检,查看是否存在微丝蚴;对村民进行问卷调查,同时捕捉蚊虫开展媒介调查. 结果线索调查共查获13例有疑似淋巴丝虫病症状的患者,经盈江县和陇川县人民医院复诊,均排除淋巴丝虫病;病原学检测村民共423人,其中缅藉来滇务工人员105人,检测结果全部为阴性,没有发现输入或当地微丝蚴血症患者;共捕捉蚊虫9 781只,其中库蚊8 871只,占90.7％(8 871/9 781),按蚊694只,占7.1％ (694/9 781),骚扰阿蚊216只,占2.2％ (216/9 781);问卷调查结果显示,当地居民中有39％ (65/164)去过缅甸,98％ (161/164)居民没有听说过淋巴丝虫病.结论云缅边境地区没发现输入或当地微丝蚴血症患者,建议当地县乡两级医院加强对疑似淋巴丝虫病症状患者的检查.
목적 료해운면변경지구시부존재수입혹당지미사유혈증자,이급당지문충충류화거민출입변경정황. 방법 재운남성롱천현、영강현연운면변경적각급의원개전선색조사,재유림파수종/상피종、유미뇨화초막적액、고환염、부고염、정색염등의사림파사충병증상환자적촌,채집촌민혈양,도후혈막,경검,사간시부존재미사유;대촌민진행문권조사,동시포착문충개전매개조사. 결과 선색조사공사획13례유의사림파사충병증상적환자,경영강현화롱천현인민의원복진,균배제림파사충병;병원학검측촌민공423인,기중면자래전무공인원105인,검측결과전부위음성,몰유발현수입혹당지미사유혈증환자;공포착문충9 781지,기중고문8 871지,점90.7％(8 871/9 781),안문694지,점7.1％ (694/9 781),소우아문216지,점2.2％ (216/9 781);문권조사결과현시,당지거민중유39％ (65/164)거과면전,98％ (161/164)거민몰유은설과림파사충병.결론 운면변경지구몰발현수입혹당지미사유혈증환자,건의당지현향량급의원가강대의사림파사충병증상환자적검사.
Objective To determine whether the cases of imported lymphatic filariasis or with microfilaria infected exist in Yunnan-Myanmar border areas,and understand the local mosquito species,the situation of the villagers who get in/out of the border.Methods A clue survey was carried out in all level's hospitals of Longchuan County and Yingjiang County,Yunnan Province,along Yunnan-Myanmar border.In the villages where exist the patients with symptoms such as lymphedema/elephantiasis,chyluria,hydrocele,orchitis,epididymitis and spermatic cord inflammation,the blood samples of villagers were collected to detect the presence of microfilaria,mosquitoes were captured for understanding the mosquito species,and questionnaires among villagers were conducted to assess the situation of the villagers who get in/out of the border as well.Results 13 cases with symptoms mentioned above were excluded from lymphatic filariasis by People's Hospital in Yingjiang and Longchuan.In total,423 people were detected by blood smear,all the results were negative; among them 105 were from Myanmar.There were no imported lymphatic filariasis or the cases infected with microfilaria found in the local.9 781 mosquitoes were captured,the proportion of Culex,Anopheles and Armigeres mosquitoes is 90.7％(8871/9 781),7.1％ (694/9 781) and 2.2％ (216/9 781),respectively.39％ (65/164)of Chinese residents had visited Myanmar,and 98％ (161/164) of Chinese residents had not heard of lymphatic filariasis.Conclusion There were no imported lymphatic filariasis or the cases with microfilaria infected in the local in Yunnan-Myanmar border areas,but the hospital in Yunnan-Myanmar border areas still should strengthen inspection and examination for the patients with suspicious symptomsof filariasis.