济宁市不同职业人群肺螨病患病情况调查及治疗评价  

Evaluation of Treatment and Investigation of Sickness Status of Pulmonary Acariasis in Population with Different Occupation in Ji'ning

作　　者：王洪慧[1] 赵福河 皮平祥 郝学安 李桂峰[1] 

机构地区：[1]济宁市疾病预防控制中心,山东济宁272000

出　　处：《预防医学论坛》2009年第7期584-586,共3页Preventive Medicine Tribune

摘　　要：[目的]了解肺螨病的流行状况、分布特征与治疗效果，为大面积防治本病提供科学依据。[方法]2000年6月至2006年6月，采用询问病史、螨渗液皮试、痰检等方法，在济宁市部分粮库、粮食加工厂、农村磨坊、中药房（库）、中药厂、卷烟厂和图书馆（室）的工作人员中进行调查，对确诊的肺螨病病人进行治疗效果观察。[结果]调查2113人，确诊肺螨病者160例，患病率为7．57％。肺螨病患病率．农村磨坊、面粉厂、粮库、中药店、中药厂、图书馆（室）、烟厂工作人员分别为14．53％、11．11％、8．39％、7．14％、6．12％、5．06％、4．15％，其他对照人群96人均为阴性（P〈0．01）；46岁以上、36～45岁、26～35岁和16～25岁分别为14．19％、9．81％、7．94％、3．41％（P〈0．01）；工龄0～9、10～19年、20～29年、30年以上者分别为5．81％、8．49％、16．18％、23．s3％（P〈0．01）。痰检685人，痰螨阳性的160例，检出的螨有12种，分隶属5科10属。160例病人服用甲硝哒唑治疗3个疗程，141例自觉症状消失或改善；痰检133例，126例痰螨阴性。[结论]肺螨病的发病与职业有密切关系，采用甲硝哒唑治疗效果显著。[Objective]To know the epidemic status of pulmonary acariasis, distribution characteristics and efficacy to provide a scientific basis for the prevention and control of the disease in large area. [Methods]From June, 2000 to June, 2006, the inquiry of case history,mites ooze liquid skin test, sputum examination etc were used tO survey and have observation on therapeutic effects of identified patients in employees from grain depot, grain processing factory, country mill, Chinese medicine pharmacy and factory, cigarette factory and library of Ji＇ning. [Results] 160 samples were identified patients of pulmonary acariasis in 2 113 subjects, the incidence rate is 7.57%. the incidence of staff in country mill,flour mill,grain depot, Chinese medicine pharmacy, Chinese medicine factory,library is 14.53 %, 11.11%, 8. 39 %, 7.14 %, 6.12 %, 5.06 % and 4.15 % respectively,all 96 samples of other control population were negative（ P〈0.01） ;the incidence in the people aged over 46,36-45,26-35,and 16-25 is 14.19%,9.81%,7.94% and 3.41% respectively （ P 〈0.01） and the people with the working years of 0-9,10-19,20-29 and over 30 is 5.81%,8.49%,16.18% and 23.53% respectively （ P〈0.01） ;sputum examination was conducted for 685 subjects 160 of them were mite-positive, 12 species of mite had been found, belonging to 5 families and 10 genera. 160 patients were treated with metronidazole with three courses and 141 of them felt symptoms disappeared or better. 133 patients had sputum examined and 126 of them were mite-negative, [Conclusion]The prevalence of pulmonary aeariasis related to the occupation closely,therapeutic effect was obvious with metronidazole.

关 键 词：肺螨病 螨渗液皮试 痰检 甲硝哒唑 

分 类 号：R53[医药卫生—内科学]