1991～2006年宁夏包虫病住院病例回顾性调查分析  

RETROSPECTIVE SURVEY AND ANALYSIS OF HOSPITALIZATION HYDATID CASES IN NINGXIA FROM 1991 TO 2006

作　　者：冯运灵[1] 杨炬[1] 吴向林[1] 李丽[1] 

机构地区：[1]宁夏疾病预防控制中心,银川750004

出　　处：《现代预防医学》2009年第17期3215-3217,3220,共4页Modern Preventive Medicine

基　　金：宁夏科技攻关项目(KGX-19-07-01)

摘　　要：[目的]掌握宁夏历年包虫病病例数量及分布,了解该病的流行特点和流行趋势,为进一步研究和制定包虫病防治对策提供依据。[方法]采用统一的包虫病住院病例回顾性调查表,由经过专门培训的调查员依据病案资料逐项填写。[结果]共收集包虫病住院病例4570例,其中男性1989例(43.5%),女性2581例(56.5%);汉族2513例(55.0%),回族1519例(33.2%);宁夏本地区包虫病病例4250例(93.0%);外省264例(5.8%),病例分布前6位的县依次是同心县、海原县、中宁县、原州区、西吉县和盐池县;病例在各年龄段平均分布,职业以农民为主,占58.3%;病例以2000年之前较多,之后呈逐年递减趋势,平均每年有286例患者住院,平均住院病例率为48/10万;单脏器寄生共4069例(89%),两脏器寄生共409例(8.9%);肝脏寄生占79.5%;住院费用中位数是1991.00元,人次均费用为3150.77元。[讨论]宁夏有小年龄组包虫病病例,有城区病例,且每年发生较多,对农(牧)民身心健康危害严重,有关部门应加强预防控制工作。[Objective] Through the survey, to understand the number, the distribution traits, the epidemic character- istics and the trend of hydatid disease cases. To give evidences for further survey and for making control strategy. [ Methods] Filled the standard questionnaires according case record by trained investigators. [ Results] Totally gathered 4 570 cases, in which men 1 989 （43.5%）, women 2 581 （56.5%） ; Han people 2 513 （55.0%）, Hui people 1 519 （33.2%） ; local cases 4 250 （93.0%）, cases from other provinces 264 （5.8%）. The top six counties which case distributions in were Tongxin county, Haiyuan county, Zhongning county, Yuanzhou district, Xiji county, Yanchi county： The case were found in every age groups. Most cases＇ occupation was farmer accounting for 58.3%. Most hospitalization cases were found before the year of 2000, then decreased after the year. There were 286 cases in average per year, the hospitalization cases rate was 4.8/100 000. Patients with parasitism in single organ were 4 069 （89%）, in two organs were 409 （8.9%）, in which in liver took up 79.5% and was the main parasitism organ. The median of hospitalization expenditure was 1 991.00 Yuan, the average person-time expenditure was 3 150.77 Yuan. [Conclusion] There are young cases and some cases in urban area, and many cases of hydatid disease are found every year. The disease heavily impair the herdsmen＇s and peasants＇ physiological and psychological health, so it should give high attention and strength prevention and control work to hydatid disease.

关 键 词：包虫病 住院病咧 回顾性调查 宁夏 

分 类 号：R532.3[医药卫生—内科学]