CAJ | 학술논문

目的：探讨黑龙江省就诊患者中华支睾吸虫病的流行现状，并分析风险因素，为制定防治策略提供理论基础。方法收集就诊于黑龙江省哈尔滨医科大学人体寄生虫病研究所的疑似华支睾吸虫病患者2359人，采用Kato?Katz法和酶联免疫法分别检测疑似患者的6718份粪便样本和2359份血样，并通过问卷调查收集患者的相关信息。结果疑似患者中华支睾吸虫的感染者为513例；疑似患者感染率在≥29岁人群中较高（P<0.05）；农村疑似患者感染率和血检阳性率均高于城市（P均<0.05）；生食鱼虾是感染华支睾吸虫病的风险因素。结论华支睾吸虫病仍然是黑龙江省主要流行的食源性寄生虫病之一，生食或半生食鱼虾的饮食习惯是感染华支睾吸虫的风险因素。
목적：탐토흑룡강성취진환자중화지고흡충병적류행현상，병분석풍험인소，위제정방치책략제공이론기출。방법수집취진우흑룡강성합이빈의과대학인체기생충병연구소적의사화지고흡충병환자2359인，채용Kato?Katz법화매련면역법분별검측의사환자적6718빈분편양본화2359빈혈양，병통과문권조사수집환자적상관신식。결과의사환자중화지고흡충적감염자위513례；의사환자감염솔재≥29세인군중교고（P<0.05）；농촌의사환자감염솔화혈검양성솔균고우성시（P균<0.05）；생식어하시감염화지고흡충병적풍험인소。결론화지고흡충병잉연시흑룡강성주요류행적식원성기생충병지일，생식혹반생식어하적음식습관시감염화지고흡충적풍험인소。
Objective To investigate the epidemiological characteristics and risk factors of clonorchiasis of hospital patients in Heilongjiang Province,so as to provide the evidence for formulating the control and prevention strategies. Methods A total of 2 359 suspected patients from human parasitic disease research institute of Harbin medical university were investigated. Total?ly 6 718 stool samples and 2 359 serum samples were tested by Kato?Katz technique and the enzyme linked immune method re?spectively. Meanwhile,the information of the patients was collected by questionnaires. Results Totally 513 suspected patients were infected with Clonorchis sinensis. The infection rate of the suspected patients was higher in the ≥29 group(P<0.05), and the infection rate and positive rate of blood tests of the rural suspected patients were both higher than those of the urban sus?pected patients(both P<0.05). The habit of eating raw fish and shrimp was the risk factor of clonorchiasis. Conclusion Clo?norchiasis is one of the main food?borne parasitic diseases in Heilongjiang Province. The habit of eating raw fish and shrimp is the risk factor of clonorchiasis.