湖北省临床治愈类晚期血吸虫病人现况调查  

Investigation on the current status of clinically cured patients with advanced schistosomiasis in Hubei province

作　　者：周晓蓉[1] 孙岚 孙凌聪[1] 董小蓉[1] ZHOU Xiao-rong;SUN Lan;SUN Ling-cong;DONG Xiao-rong(Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079;The Third Hospital of Jinzhou City,Jinzhou,Hubei 430030,China)

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079 [2]荆州市第三人民医院,湖北荆州430030

出　　处：《热带医学杂志》2022年第9期1280-1283,共4页Journal of Tropical Medicine

基　　金：湖北省自然科学基金(ZRMS2018001117)

摘　　要：目的了解湖北省临床治愈类晚期血吸虫病人基本情况,为晚期血吸虫病救治管理提供科学依据。方法根据《晚期血吸虫病诊断标准》和《晚期血吸虫病临床治愈标准》筛查出湖北省临床治愈类晚期血吸虫病人,收集整理病人基本情况、救治情况及现状,采用描述性分析方法进行统计分析。结果共收集整理临床治愈类晚期血吸虫病人3258例,其中男2059例(63.20%),女1199例(36.80%),平均年龄(63.40±12.41)岁,63.38%的病例分布在荆州。临床分型以腹水型患者为主,共2231例(68.48%),巨脾型967例(29.68%)。确诊病例610例(18.72%),临床诊断病例2648例(81.28%);行脾脏切除术者有485例(14.89%),有211例曾有消化道出血史(6.48%),平均内科救治次数(4.03±3.05)次,外科救治次数(1.61±1.46)次。结论湖北省晚期血吸虫病免费救治工作效果显著,对临床治愈类晚期血吸虫病人加强监测和随访管理尤为必要。Objective To understand the basic situation of clinically cured patients with advanced schistosomiasis in Hubei province,and provide scientific basis for the treatment and management of advanced schistosomiasis.Methods According to the Diagnostic Criteria for Advanced Schistosomiasis and Clinical Cure Standards for Advanced Schistosomiasis,patients with clinically cured advanced schistosomiasis in Hubei province were screened.The basic conditions,treatment conditions and current status of the patients were collected and analyzed.Descriptive analysis methods were used for statistical analysis.Results A total of 3258 clinically cured patients with advanced schistosomiasis were collected,including 2059 males(63.20%)and 1199 females(36.80%),with an average age of(63.40±12.41)years old.63.38%of the cases were located in Jingzhou.The main clinical classification was ascites patients,with 2231 patients(68.48%)and 967 patients with megasplenic type(29.68%).There were 610 confirmed cases(18.72%),2648(81.28%)clinically diagnosed cases;485(14.89%)cases underwent splenectomy,211 cases had a history of gastrointestinal bleeding(6.48%),and the average number of medical treatments were(4.03±3.05)times,the number of surgical treatments was(1.61±1.46)times.Conclusion The effect of free treatment of advanced schistosomiasis in Hubei province is remarkable,and it is particularly necessary to strengthen monitoring and follow-up management for clinically cured patients with advanced schistosomiasis.

关 键 词：晚期血吸虫病 临床治愈 现况调查 

分 类 号：R532.21[医药卫生—内科学] R181.3[医药卫生—临床医学]