广西贵港市299例华支睾吸虫病流行病学分析  

Epidemiological analysis on 299 cases of clonorchiasis sinensis in Guigang, Guangxi

作　　者：梁树德[1] 

机构地区：[1]广西省贵港市疾病预防控制中心,贵港537100

出　　处：《国际医学寄生虫病杂志》2012年第5期261-264,共4页International JOurnal of Medical Parasitic Diseases

摘　　要：目的了解贵港市华支睾吸虫病临床病例流行病学特点。方法回顾性分析2009—2011年在贵港市疾病预防控制中心就诊的可疑华支睾吸虫病例。采集疑似华支睾吸虫病患者当天第一次粪便30～50g，用水洗自然沉淀集卵法镜检虫卵，虫卵阳性确诊为华支睾吸虫病。用Stoll法计数克粪虫卵数（EPG），划分感染度。结果3年共确诊299例。重度感染59例，中度感染144例，轻度感染96例。患者年龄7～80岁，其中，30～59岁年龄组病例占79．93％（239／299）。男性占93．98％（281／299），个体职业者占30．10％（90／299），汉族占81．61％（244／299），市区占64．88％（194／299），农村占35．12％（105／299），60％的乡镇有病例。有并发症或合并症148例，占49．50％。有食鱼生史占94．65％（283／299），从首次食鱼生至确诊时间，最短20d，最长70年。结论贵港市华支睾吸虫病患者以中青年男性为主，市区病例多于农村。Objective To investigate the epidemiological features of the cases with clonorchiasis sinensis in Guigang City, Guangxi Province and provide a reference for controlling the disease. Methods About 30-50 g fecal samples were collected from each patient and examined by sedimentation technique. Definitive diagnosis of sinensis infection would be made once the Clonorchis sinensis eggs were detected. Number of eggs was counted by Stoll＇s method and the infectiosity was determined based on the number of eggs per gram of （EPG）. Results Among the 299 cases of Clonorchis sinensis, 59 cases showed medium or heavy intensity of infection, 144 cases showed moderate and 96 cases showed mild. The age of the patients was from 7 to 80 years old. 79.93% （239/299） of them were in the age group of from 30 to 59 years old. 93.98% （281/299） of the case were male, 30.10% （90/299） were self-employed. 81.61% （244/299） of the cases were HaM nationality. 64.88% （194/299） of the cases lived in the Downtown, and 35.12% （105/299） in the rural. The cases distributed in 60% of all townships. 148 cases had clinical complications （ 49.50% ）. 94.65% （283/299） of the cases had a habit of eating raw fish. The duration from eating raw fish to definitive diagnosis of clonorchiasis was from 20 days to 70 years. Conclusion Most of the sinensis cases were males and there were more cases in urban area than that in rural area of Guigang City.

关 键 词：华支睾吸虫 临床 流行病学 

分 类 号：R532.23[医药卫生—内科学]