四川省消除丝虫病后慢性丝虫病调查  

Investigation of Chronic Filariasis Cases After Filariasis Eliminated in Sichuan Province

作　　者：张富南[1] 胡雅劼[1] 张丽萍[1] 陈漪澜[1] 

机构地区：[1]四川省疾病预防控制中心寄防所,四川成都610041

出　　处：《预防医学情报杂志》2011年第12期965-969,共5页Journal of Preventive Medicine Information

摘　　要：目的了解消除丝虫病后慢性丝虫病发病情况和原患者转归及变化,为对患者开展关怀与照料提供依据。方法以10周岁以上人群为调查对象,逐户逐人访问与体检;对原慢性丝虫病患者逐个询问、复查,完善个案资料。结果四川省消除丝虫病后,无新发慢性丝虫病病例;2010年尚存原慢性丝虫病患者341例。原患者因年老自然减员等原因,分别比基本消除丝虫病和消除丝虫病时自然减少89.83%、62.32%,分布区域已明显缩小。遗留的患者年龄以60岁以上老年人居多(92.08%);患者病程多在40年以上(78.59%)。淋巴液肿部位和分期以双下肢和Ⅰ～Ⅱ期为主,分别占整个病例的46.92%、75.07%。结论四川省消除丝虫病后,慢性丝虫病患者明显减少,体征程度减轻,表现为高龄、病程长的特点,后期监测应加强患者自身保健治疗,给予关怀和照料,减轻症状与体征,控制发病。Objective To understand the incidence of chronic filariasis and the outcome and changes of chronic filariasis cases after the disease being eliminated,and provide basis for caring and attending patients.Methods Visit people aged over 10-year-old interviewed and physical examinated from door to door.Inquiry and reexamine ofpr filariasis cases were carried out one by one with their casebooks completed.Results After eliminating filariasis in Sichuan Province,no new case was found.There were 341 chronic cases still existing in 2010.Because of dying aging,etc,the chronic cases were naturally decreased by 89.83% and 62.32% compared to the time when basically and totally eliminating filariasis.The epidemic area also significantly reduced.Among those remaining cases,people over 60-year-old accounted most（92.08%）.Course of the cases were mainly more than 40 years,accounted for 78.59%.The lymphedema area was mainly in both lower limb and on stage Ⅰ-Ⅱ,accounted for 46.92% and 75.07% of all the casesre.Conclusion After filariasis was eliminated in Sichuan,the chronic filariasis cases significantly reduced.The patients＇ symptoms have been alleviating.The characteristics of the cases are old age and long courses.During the later stage of filariasis surveillance,self protection of health and treatment measure should be strengthened to control the onset of the illness and alleviate the symptoms and signs.

关 键 词：消除 马来丝虫病 慢性丝虫病 肢体淋巴液肿 患者 

分 类 号：R532.15[医药卫生—内科学]