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
2015年
1期
6-9
,共4页
黄达娜%张仁利%张泽娜%马艳秀%阳帆%吴春利%李玥
黃達娜%張仁利%張澤娜%馬豔秀%暘帆%吳春利%李玥
황체나%장인리%장택나%마염수%양범%오춘리%리모
食源性寄生虫病%血清阳性率%酶联免疫吸附试验
食源性寄生蟲病%血清暘性率%酶聯免疫吸附試驗
식원성기생충병%혈청양성솔%매련면역흡부시험
Food-borne parasitic diseases%Serum positive rate%Enzyme-linked immunosorbent assay
目的 分析深圳市门诊患者和健康人群常见食源性寄生虫病的感染现状,为防治策略的制定提供科学依据. 方法 2013年1-12月,收集深圳市疾病预防控制中心寄生虫门诊就诊者的血清,同时按照整群随机抽样原则收集健康人的血清,采用酶联免疫吸附试验(enzyme-linked im-munosorbent assay,ELISA)检测华支睾吸虫、并殖吸虫、广州管圆线虫、猪囊尾蚴、棘球蚴和裂头蚴等6种常见食源性寄生虫的血清特异性抗体,通过描述性流行病学方法来分析人群血清学特征. 结果 收集门诊患者312人的血清,6种食源性寄生虫的总阳性率为24.35％ (76/312),华支睾吸虫、并殖吸虫、广州管圆线虫、猪囊尾蚴、棘球蚴、裂头蚴血清抗体阳性率依次为12.01％ (31/258)、6.98％(16/229)、6.19％ (13/210)、8.75％ (21/240)、5.37％ (11/205)、9.20％ (23/250).男性血清抗阳性率为27.33％ (44/161)高于的女性的21.19％ (32/151),性别间阳性率无统计学意义差异(x2=1.593,P＞0.05);门诊患者中不同年龄组表现了不同的血清阳性率,最高血清阳性率的年龄组分布在21～50岁,高于20岁以下和50岁以上年龄组,但不同年龄组血清阳性率无统计学意义差异(x2=4.376,P＞0.05);同时收集健康人群血清500人份,总阳性率为8.80％ (44/500),华支睾吸虫、并殖吸虫、广州管圆线虫、猪囊尾蚴、棘球蚴、裂头蚴血清抗体阳性率依次为2.80％ (14/500)、1.60％ (8/500)、2.00％ (10/500)、2.40％ (12/500)、1.80％ (9/500)、2.20％ (11/500),男性血清阳性率9.67％ (25/258)高于女性的7.85％ (19/242),性别间阳性率无统计学意义差异(x2=0.526,P＞0.05);健康人群中不同年龄组表现了不同的血清阳性率,最高血清阳性率的年龄组分布在21～50岁,高于20岁以下和50岁以上年龄组,不同年龄组居民血清阳性率有统计学意义差异(x2=8.625,P＜0.05).深圳市门诊患者食源性寄生虫的阳性率高于健康人群的平均水平,差异具有统计学意义(x2=36.928,P＜0.05). 结论 深圳市门诊患者食源性寄生虫血清阳性率高于健康人群感染的平均水平.食源性寄生虫病防治是深圳市寄生虫病防治工作的重点,应广泛宣传食源性寄生虫病防治知识,继续倡导健康饮食行为.
目的 分析深圳市門診患者和健康人群常見食源性寄生蟲病的感染現狀,為防治策略的製定提供科學依據. 方法 2013年1-12月,收集深圳市疾病預防控製中心寄生蟲門診就診者的血清,同時按照整群隨機抽樣原則收集健康人的血清,採用酶聯免疫吸附試驗(enzyme-linked im-munosorbent assay,ELISA)檢測華支睪吸蟲、併殖吸蟲、廣州管圓線蟲、豬囊尾蚴、棘毬蚴和裂頭蚴等6種常見食源性寄生蟲的血清特異性抗體,通過描述性流行病學方法來分析人群血清學特徵. 結果 收集門診患者312人的血清,6種食源性寄生蟲的總暘性率為24.35％ (76/312),華支睪吸蟲、併殖吸蟲、廣州管圓線蟲、豬囊尾蚴、棘毬蚴、裂頭蚴血清抗體暘性率依次為12.01％ (31/258)、6.98％(16/229)、6.19％ (13/210)、8.75％ (21/240)、5.37％ (11/205)、9.20％ (23/250).男性血清抗暘性率為27.33％ (44/161)高于的女性的21.19％ (32/151),性彆間暘性率無統計學意義差異(x2=1.593,P＞0.05);門診患者中不同年齡組錶現瞭不同的血清暘性率,最高血清暘性率的年齡組分佈在21～50歲,高于20歲以下和50歲以上年齡組,但不同年齡組血清暘性率無統計學意義差異(x2=4.376,P＞0.05);同時收集健康人群血清500人份,總暘性率為8.80％ (44/500),華支睪吸蟲、併殖吸蟲、廣州管圓線蟲、豬囊尾蚴、棘毬蚴、裂頭蚴血清抗體暘性率依次為2.80％ (14/500)、1.60％ (8/500)、2.00％ (10/500)、2.40％ (12/500)、1.80％ (9/500)、2.20％ (11/500),男性血清暘性率9.67％ (25/258)高于女性的7.85％ (19/242),性彆間暘性率無統計學意義差異(x2=0.526,P＞0.05);健康人群中不同年齡組錶現瞭不同的血清暘性率,最高血清暘性率的年齡組分佈在21～50歲,高于20歲以下和50歲以上年齡組,不同年齡組居民血清暘性率有統計學意義差異(x2=8.625,P＜0.05).深圳市門診患者食源性寄生蟲的暘性率高于健康人群的平均水平,差異具有統計學意義(x2=36.928,P＜0.05). 結論 深圳市門診患者食源性寄生蟲血清暘性率高于健康人群感染的平均水平.食源性寄生蟲病防治是深圳市寄生蟲病防治工作的重點,應廣汎宣傳食源性寄生蟲病防治知識,繼續倡導健康飲食行為.
목적 분석심수시문진환자화건강인군상견식원성기생충병적감염현상,위방치책략적제정제공과학의거. 방법 2013년1-12월,수집심수시질병예방공제중심기생충문진취진자적혈청,동시안조정군수궤추양원칙수집건강인적혈청,채용매련면역흡부시험(enzyme-linked im-munosorbent assay,ELISA)검측화지고흡충、병식흡충、엄주관원선충、저낭미유、극구유화렬두유등6충상견식원성기생충적혈청특이성항체,통과묘술성류행병학방법래분석인군혈청학특정. 결과 수집문진환자312인적혈청,6충식원성기생충적총양성솔위24.35％ (76/312),화지고흡충、병식흡충、엄주관원선충、저낭미유、극구유、렬두유혈청항체양성솔의차위12.01％ (31/258)、6.98％(16/229)、6.19％ (13/210)、8.75％ (21/240)、5.37％ (11/205)、9.20％ (23/250).남성혈청항양성솔위27.33％ (44/161)고우적녀성적21.19％ (32/151),성별간양성솔무통계학의의차이(x2=1.593,P＞0.05);문진환자중불동년령조표현료불동적혈청양성솔,최고혈청양성솔적년령조분포재21～50세,고우20세이하화50세이상년령조,단불동년령조혈청양성솔무통계학의의차이(x2=4.376,P＞0.05);동시수집건강인군혈청500인빈,총양성솔위8.80％ (44/500),화지고흡충、병식흡충、엄주관원선충、저낭미유、극구유、렬두유혈청항체양성솔의차위2.80％ (14/500)、1.60％ (8/500)、2.00％ (10/500)、2.40％ (12/500)、1.80％ (9/500)、2.20％ (11/500),남성혈청양성솔9.67％ (25/258)고우녀성적7.85％ (19/242),성별간양성솔무통계학의의차이(x2=0.526,P＞0.05);건강인군중불동년령조표현료불동적혈청양성솔,최고혈청양성솔적년령조분포재21～50세,고우20세이하화50세이상년령조,불동년령조거민혈청양성솔유통계학의의차이(x2=8.625,P＜0.05).심수시문진환자식원성기생충적양성솔고우건강인군적평균수평,차이구유통계학의의(x2=36.928,P＜0.05). 결론 심수시문진환자식원성기생충혈청양성솔고우건강인군감염적평균수평.식원성기생충병방치시심수시기생충병방치공작적중점,응엄범선전식원성기생충병방치지식,계속창도건강음식행위.
Objective To analyze the epidemic situation and trend of food-borne parasitic diseases in Shenzhen City thus to supply a scientific basis for developing the control strategies.Methods Serum samples of the outpatients at Shenzhen Centre for Disease Control and Prevention and healthy people were collected during January to December 2013.The specific antibodies of Clonorchis sinensis,Paragonimus,Angiostrongylus cantonensis,Cysticercus,hydatid and Sparganum in the samples were detected with ELISA.The characteristics of parasite infection was analyzed using descriptive epidemiological method.Results The total positive rate of food borne parasitic diseases was 24.35％(76/312).The rates of Clonorchis sinensis,Paragonimus,A ngiostrongylus cantonensis,Cystecercus,hydatid and Sparganum were 12.01％(31/258),6.98％(16/229),6.19％(13/210),8.75％(21/240),5.37％(11/205) and 9.20％(23/250) respectively in those 312 outpatients.The gender distribution of the total positive cases was 27.33％ (44/161) in male and 21.19％ (32/151) in female with no significant difference (x2=1.593,P＞0.05).As to the age distribution of the total positive rates,the highest rate group was 21-50 years old group,however there was no significant difference between different age groups (x2=4.376,P＞0.05).The total positive rate was 8.80 ％ (44/500) in 500 healthy people.The positive rates of above six parasites were 2.80％ (14/500),1.60％ (8/500),2.00％ (10/500),2.40％ (12/500),1.80％(9/500) and 2.20％ (11/500) respectively.The total positive rate was 9.67％ (25/258) in male,higher than that 7.85％ (19/242) in female,however the difference was not significant (x2=0.526,P＞0.05).As to the age distribution of the total positive rates,the highest rate was also in 21-50 years old group,while the difference between different age groups was significant (x2=8.625,P＜0.05).Overall,the total positive rate in outpatients was significantly higher than that in healthy people (x2=36.928,P＜0.05).Conclusion The infection rates of food borne parasitic infections in the outpatients is higher than that in healthy people in Shenzhen and the food-borne parasitic diseases were the major parasitic diseases to be prevented in Shenzhen areas and the healthy diet habit should be widely educated.
