武警某部驻血吸虫病流行区官兵感染情况调查  

Investigation on schistosome infection status in garrison troops stationed in endemic areas

作　　者：刘小利[1] 罗俊卿[1] 李刚[1] 简明[1] 宋小军[2] 汪细和 赵献峰[1] 王丽曼[1] 刘涛[1] 

机构地区：[1]武警湖南省总队医院,长沙410006 [2]武警湖南总队卫生处

出　　处：《中国血吸虫病防治杂志》2010年第3期275-277,共3页Chinese Journal of Schistosomiasis Control

摘　　要：目的调查武警某部驻血吸虫病流行区官兵血吸虫感染状况,并分析流行因素。方法采用酶联免疫吸附试验(ELISA)进行血吸虫抗体检测,同时进行与血吸虫感染相关的训练、生产和生活行为方式的问卷调查,调查血吸虫感染的途径。结果共调查12459名官兵,年龄18～36岁,均为男性,血吸虫ELISA阳性率为1.2%,后勤班阳性率高于战斗班,差异有统计学意义(P<0.05);来自疫区官兵的阳性率高于来自非疫区者(P<0.05);2150名官兵参与问卷调查,100%的被调查对象均知晓感染血吸虫必须接触疫水,均认为接触疫水的方式是参加抗洪抢险和下河游泳,75人(3.5%)认为接触河边露水可以感染,163人(7.6%)认为还有其他不明原因可以感染;营区所处的地理位置、营区结构及营区内粪便的无害化处理与血吸虫感染密切相关。结论武警某部驻血吸虫病流行区官兵血吸虫ELISA阳性率较低;营区所在的地理环境、营区的结构和官兵的生产行为、生活方式是导致血吸虫病流行的主要因素。Objective To investigate the status of schistosomiasis prevalence and risk factors in the garrison troops stationed in the endemic areas.Methods The schistosome antibody was detected by ELISA,and the soldier behaviors including military training,production and living behavior related to schistosome infection were investigated with questionnaires.The risk factors of schistosomiasis were also investigated.Results A total of 12 459 male soldiers aged 18-36 years were investigated.The positive rate of ELISA was 1.2%,and the positive rate in the rear service group was higher than that in the battle group（P0.05）,and the positive rate in the soldiers originated from schistosomiasis endemic areas was higher than that in the soldiers originated from non-endemic areas,P0.05.A total of 2 150 soldiers received the questionnaire surveys and all of them understood schistosome infection came from the infested water contact,that included fighting a flood and swimming.Seventy-five persons（3.5%）thought the contact with the dew near the river could be infected with schistosome,and 163（7.6%）thought there were other unknown risk factors.The barrack locations,structures and feces harmless treatment were closely related to schistosome infections.Conclusions The serologic positive rate of schistosomiasis is low in the garrison troops,and the barrack locations,structures and soldiers＇ production and living behaviors are the main risk factors.

关 键 词：血吸虫病 传播途径 流行特征 

分 类 号：R532.21[医药卫生—内科学]