CAJ | 학술논문

目的分析2008-2014年扬中市渔民血吸虫病疫情监测结果,为血吸虫病防控提供依据. 方法钉螺监测,每年采用系统抽样结合环境抽样的方法对全市沿江渔民集散地采集钉螺,压碎镜检法解剖;病情监测,每年对全市沿江渔民集散地的所有渔民进行血清学和病原学查病.采用胶体染料法进行血清学筛查,采集血清学阳性者粪便进行粪孵检查;防治措施的落实,对查出的有螺环境采用药物喷洒灭螺,对血清学和病原学阳性者采用吡喹酮治疗,发放宣传单、防护油膏,设立警示牌、张贴宣传标语等进行宣传教育. 结果 2008-2014年调查总框数18 244框,查出活螺框6 515框,活螺框出现率35.71％ (6 515/18 244),捕获活螺19 255只,活螺平均密度分别为1.89、1.33、1.57、0.55、1.42、0.97、0.52只/0.1 m2,检获感染性钉螺19只,仅2008年和2009年发现感染性性钉螺.2008-2014年血清学阳性率分别为5.45％、7.27％、4.10％、4.46％、3.70％、4.20％、2.61％,病原学检查36人,未发现阳性.2008-2014年共杀灭钉螺766.63 ha(1 ha=10 000 m2),累计治疗血清学检查阳性者36人次,发放宣传材料1 686份、防护油膏2 632支、宣传实物1 272份,设立警示牌177块、血防宣讲182次. 结论扬中市渔民血吸虫病防治效果很好,但极需加强集散地螺情环境的综合治理,探索适合本地渔民防治的新举措.
목적 분석2008-2014년양중시어민혈흡충병역정감측결과,위혈흡충병방공제공의거. 방법 정라감측,매년채용계통추양결합배경추양적방법대전시연강어민집산지채집정라,압쇄경검법해부;병정감측,매년대전시연강어민집산지적소유어민진행혈청학화병원학사병.채용효체염료법진행혈청학사사,채집혈청학양성자분편진행분부검사;방치조시적락실,대사출적유라배경채용약물분쇄멸라,대혈청학화병원학양성자채용필규동치료,발방선전단、방호유고,설립경시패、장첩선전표어등진행선전교육. 결과 2008-2014년조사총광수18 244광,사출활라광6 515광,활라광출현솔35.71％ (6 515/18 244),포획활라19 255지,활라평균밀도분별위1.89、1.33、1.57、0.55、1.42、0.97、0.52지/0.1 m2,검획감염성정라19지,부2008년화2009년발현감염성성정라.2008-2014년혈청학양성솔분별위5.45％、7.27％、4.10％、4.46％、3.70％、4.20％、2.61％,병원학검사36인,미발현양성.2008-2014년공살멸정라766.63 ha(1 ha=10 000 m2),루계치료혈청학검사양성자36인차,발방선전재료1 686빈、방호유고2 632지、선전실물1 272빈,설립경시패177괴、혈방선강182차. 결론 양중시어민혈흡충병방치효과흔호,단겁수가강집산지라정배경적종합치리,탐색괄합본지어민방치적신거조.
Objective To analyze the results of surveillance on schistosomiasis in fishermen of Yangzhong City from 2008 to 2014,so as to provide the evidence for prevention and control of schistosomiasis.Methods Monitoring on snail:the method of systematic sampling combined with environmental sampling was adopted to collect snails along the river in the city center where fishermen gathered each year,then the crushed snails were examined under microscopy.Epidemic monitoring:the methods of serology and etiology of the disease were adopted to examine for the disease in all fishermen along the river in the city center each year.The colloidal dye method,dipstick dye immunoassay kit for schistosome antibody (IgG) was used for serologic screening,the serological positive stool samples were then collected for hatch-eggs checking.Prevention and control measures of implementation:the snail was controlled with molluscicide-spraying,the positive people of serology and etiology was treated with praziquantel,the flyer (painting) and protective ointment were distributed,warning signs were set up,and propaganda slogan posted,etc.Results Monitoring on snail:A total of 18 244 frames was surveyed from 2008 to 2014 among which 6 515 frames with living snails,the occurrence rate od frames with living snails was 35.71％(6515/18244).A total of 19 255 living snails was captured,the annual average densities of living snail were 1.89,1.33,1.57,0.55,1.42,、0.97,0.52 snail/0.1 m2 respectively from 2008 to 2014,the positive snails were found only in 2008 and 2009,19 positive snails were seized.Epidemic monitoring:from 2008 to 2014,serological positive rates were 5.45％,7.27％,4.10％,7.27％,3.70％,4.20％,2.61％ respectively;36 people were subjected to etiology examination,no positive found.From 2008 to 2014,766.63 ha(1 ha=10 000 m2) of oncomelania were killed while the 36 serologically positive people were treated with praziquantel.1 686 flyers (painting) and 2 632 protective ointment were distributed.177 warning signs were set up.Preach on prevention of schistosomiasis was given for 182 times.Conclusion The effect of prevention and control of schistosomiasisin fishermen of Yangzhong City was promising,but the comprehensive control must be strengthened in the distribution center,and new measures of prevention and control that are suitable for local people still need to be explored.