广西宾阳县和融水县带绦虫病的调查  

An Investigation of Taeniasis in Binyang and Rongshui Counties of Guangxi Zhuang Autonomous Region

作　　者：郎书源[1] 郭智芳[1] 包怀恩[1] 

机构地区：[1]贵阳医学院寄生虫学教研室,贵州贵阳550004

出　　处：《贵阳医学院学报》2008年第1期10-11,15,共3页Journal of Guiyang Medical College

基　　金：国家自然科学基金资助(No30260102)

摘　　要：目的:了解广西壮族自治区宾阳县及融水县部分村寨带绦虫病的流行情况及病原虫种。方法:采用传统的流行病学方法(询问病史、驱虫等)调查两县的6个村寨,用槟榔-南瓜子法对45名自诉排节片的病人(男36人,女9人)进行驱虫治疗,同时鉴定成虫的形态学特征并分析患者的感染原因。结果:45名有自觉症状的成人中,有3人(男2人,女1人)驱出成虫,年龄37～53岁,驱虫率为6.67%。驱出的成虫长度,1.80～3.60m,头节上可见4个吸盘,无顶突和小钩,孕节子宫分支为每侧21～31支。该地区带绦虫病流行的主要原因可能为当地壮族及侗族村民喜欢生食或半生食猪肉及猪内脏。结论:根据当地带绦虫的形态学特征,结合中间宿主和感染原因分析,认为广西宾阳县及融水县存在牛带绦虫亚洲亚种。Objective： To investigate the Binyang and Rongshui counties of Guangxi current status of taeniasis and the pathogen of taeniasis in Zhuang autonomous region. Methods： An epidemiological survey was carried out in six villages of Binyang and Rongshui counties by using traditional methods. Forty-five people （36 males and 9 females） who mentioned having discharged nodal plates were given treatment with helminthicides of areca and pumpkin seeds. Their feces was checked afterwards, and the worm nodal plates obtained were identified. In the same time, related habits of people here were investigated. Results： Adult worms were discharged from 3 （2 males and 1 female, aged 37 - 53） of the 45 people （6.67%）, and the range of the length of the discharged worms was 1.80 - 3.60 m. There were four sucking discs on the scolex. No rostellum or hamulus was found. The number of uterine branches ranged 21-31. People here like to eat raw or un-well-cooked meat and viscera of pig. Conclusion： The pathogen of taeniasis is Taenia saginata asiatica in Binyang and Rongshui counties.

关 键 词：绦虫病 槟榔 南瓜子 成虫 

分 类 号：R383.32[医药卫生—医学寄生虫学] R532.3[医药卫生—基础医学]