麻风低流行状态是否仍需要接触者检查?  

Should the household contact examination in a low endemic situation of leprosy continue?

作　　者：陈树民[1] 张艳芳[1] 黄金萍[1] 张林[1] 刘兵[1] 

机构地区：[1]山东省皮肤病性病防治研究所,济南250022

出　　处：《中国麻风皮肤病杂志》2004年第6期533-535,共3页China Journal of Leprosy and Skin Diseases

摘　　要：目的 :　分析麻风低流行状况下 ,接触者检查对发现新发病人的效果。方法 :　对山东省近 11年来新发麻风病人的发病潜伏期和相关资料进行回顾性分析。结果 :　 1991～ 2 0 0 1年诊断的 5 4 7例麻风病人中有 2 5 2例有麻风接触史 ,平均潜伏期为 2 3年 ,90例家庭内接触者中仅有 12例 (13.3% )和 10例(11.1% )可在 5～ 10年内被发现 ,占总新发现病人的 2 %。结论 :　在山东麻风低流行状态下 ,现行政策的接触者检查的效果较低 ,为了尽早发现新的麻风病人 ,需寻求其他方法 ,如对医务人员加强有关麻风早期诊断知识的培训。Objective:To analyze the effectiveness of contact examination in case finding of leprosy under a low endemic situation of leprosy in Shandong Province. Methods: Data of all newly diagnosed leprosy cases in the past 11 years were collected and analyzed retrospectively.Results: Two hundred fifty-two out of 547 leprosy cases diagnosedin the period of 1991-2001 reported that they had contacted with different categories of primary leprosy cases. Among them 90 cases had household primary leprosy cases. The mean incubation period of the 252 index leprosy cases was 23 years. Only 12 (13.3%) and 10 (11.1%) of the 90 cases, whose infection sources were household contacts, could be detected, accounting for 2% of the total cases detected in the period, when the national policy for contact examination was followed. Conclusion: The effectiveness of the contact examination, in terms of case finding, is low in the low endemic situation of leprosy in Shandong. Therefore, other approaches should be considered, in order to find out the new leprosy cases as early as possible. For example, strengthening the training for medical staff at different levels might be helpful in early diagnosis of leprosy.

关 键 词：麻风 低流行状态 接触者 检查方法 传染源 

分 类 号：R755[医药卫生—皮肤病学与性病学]