中国大陆人体胃血吸虫病地区分布与危害  

Distribution and harmfulness of gastric schistosomiasis in the mainland of China

作　　者：郑德福[2] 周青[2] 肖宁[1] 张丽萍[1] 钟波[1] 张旭东[1] 钱小红[1] 

机构地区：[1]四川省疾病预防控制中心,成都610041 [2]四川大学华西医学中心,成都610041

出　　处：《国际医学寄生虫病杂志》2011年第2期74-79,共6页International JOurnal of Medical Parasitic Diseases

摘　　要：目的 分析中国大陆人体胃血吸虫病的地区分布与危险因素，并提出相应的防控措施。 方法 查阅、收集、整理国内1951年—2010年12月多种医学书籍、专著、寄生虫学科技期刊等有关血吸虫病流行区病例资料，分析胃血吸虫病的发病现状与地区分布，患者的年份、性别、职业分布，发病季节和病程和临床症状等，并讨论胃血吸虫病的诊断和治疗方法。 结果 在国内南方血吸虫病流行区的12个省、直辖市中，除广东、广西地区目前尚无人体胃血吸虫病例资料报道外，其余地区均有数量不等的病例报道。人体胃血吸虫病病例以江苏、浙江、湖北、安徽居多，该4省病例数占国内总病例数的85.40%（626/733）。云南与福建各为1例，占总病例数的0.27%（2/733）。患者多为农民，最低年龄为12岁，最高年龄为76岁，据315例有明确性别的病例显示，男女患者之比为4.08：1。患者均有在夏、秋季接触疫水史，病程数天、数月、数年不等。患者有较典型的溃疡病或胃癌症状等。 结论 人体胃血吸虫病在我国发病为点状散在分布，少数地区发病较为集中。Objectives To summarize and analyze the distribution and harmfulness of gastric schistoso- miasis in the mainland of China so as to make suitable measures of control and prevention. Methods Case data of schistosomiasis collected from varieties of medical books, monographs and journals on parasitology were analyzed in order to understand the risk factors and situation of gastric schistosomiasis cases in the mainland of China. Results In the southern part of schistosomiasis epidemic areas of China, 10 provinces or municipalities had been reported to have these cases with an exception of Guangdong and Guangxi provinces. A majority of the cases were reported in Jiangsu, Zhejiang, Hubei and Anhui provinces, accounting for 85.40% （626/733） of total case numbers in the mainland of China, while the cases in Yunnan and Fujian provinces only accounted for 0.27% （2/733）. The cases＇occupations were predominantly farmers and had an age range of 12 to 76 years old. Among 315 cases with detailed data, the ratio of male and female was 4.08： 1. All of the cases had some obvious symptoms in gastric intestinal system. Conclusion In China, gastric schistosomiasis caused by Schistosoma japonicum was at scattered distribution with only a few provinces showing concentrated phenomena.

关 键 词：中国大陆 胃血吸虫病 流行病学 分布与危害 

分 类 号：R532.21[医药卫生—内科学]