2007-2011年上海市闵行区华漕镇晚期血吸虫病患者调查分析  

Investigation and analysis of advanced schistosomiasis cases in Huacao town,Shanghai from 2007 to 2011

作　　者：杨圣元[1] 施文平[2] 毛志华[1] 赵慧蓝 沈燕[1] 钟春明[1] 易强[1] 

机构地区：[1]上海市闵行区华漕社区卫生服务中心,上海201101 [2]上海市闵行区疾病预防控制中心

出　　处：《中国预防医学杂志》2012年第4期281-283,共3页Chinese Preventive Medicine

摘　　要：目的了解上海市闵行区华漕镇晚期血吸虫病患者的基本情况,为今后晚期血吸虫病防制工作提供科学依据。方法收集2007-2011年华漕镇晚期血吸虫病患者随访资料,并进行统计分析。结果 2007-2011年华漕镇在册晚期血吸虫病患者共333例,死亡95例,失访1例,目前存活的有237例;主要分布在东部的华漕地区和中部的诸翟地区;男女性别比为0.53∶1,平均年龄76.12岁,60岁以上年龄段占97.90%;临床分型有巨脾型、腹水型和侏儒型3类,巨脾型占96.40%,巨脾型病人中40.50%的已切脾;目前82.70%的患者生活能自理,61.18%的患者同时患有其他慢性疾病。结论华漕镇晚期血吸虫病患者呈现明显老龄化趋向,且患者人数逐年减少。晚期血吸虫病患者分布与历史血吸虫病流行程度有关。晚期血吸虫病患者患有其他慢性疾病的人数逐年增多。Objective To understand the basic situation of advanced schistosomiasis in Hua Cao Town,Minhang District,and to provide a scientific basis on advanced schistosomiasis preventive and controlling measures in the future.Methods Data on advanced schistosomiasis from 2007 to 2011 was collected and analyzed by epidemiological prevalent study.Results There were total 333 advanced schistosomiasis cases,among whom there were 95 deaths,there was one case lost,only 237 survival cases currently.Cases were mainly distributed in the eastern region of Huacao and in central region of Zhu Di.Males were more than females with gender ratio of 0.51∶1.The average age of cases was 76.12,while cases with age older than 60 year accounted for 97.90%.There were 3 types with splenomegaly,ascites and dwarf by clinical classification,during which cases with splenomegaly were accounting for 96.40%,Cases by splenectomy accounted for 40.50% in the cases of splenomegaly.At present,there were 82.70% of cases could take care by themselves,and 61.18% got with other chronic diseases.Conclusions Most patients are older than 60 in Hua Cao Town,Minhang District,and the number of cases drops these years.The distribution of cases is related to the seriousness of schistosomiasis epidemics historically.The number of advanced schistosomiasis suffering from other chronic diseases is increasing yearly.Health education plus cases saving and caring measures should be strengthened to help them improve life quality and survival rate,and to show government′s care for patients.

关 键 词：晚期血吸虫病 调查分析 华漕镇 

分 类 号：R532.21[医药卫生—内科学]