149例晚期血吸虫病患者行为因素分析  

Analysis on behavior factors of 149 advanced schistosomiasis cases

作　　者：王友斌[1] 徐肇纲 贺正文[1] 曹淳力[2] 

机构地区：[1]湖北省公安县疾病预防控制中心血吸虫病预防所,公安434300 [2]中国疾病预防控制中心寄生虫病预防控制所,卫生部寄生虫病原与媒介生物学重点实验室,世界卫生组织疟疾、血吸虫病和丝虫病合作中心,上海200025

出　　处：《国际医学寄生虫病杂志》2014年第3期125-128,共4页International JOurnal of Medical Parasitic Diseases

基　　金：中国疾病预防控制中心科研项目;上海市卫生局科研计划课题资助项目（20124405）

摘　　要：目的 通过对晚期血吸虫病患者行为因素分析,为科学控制晚期血吸虫病发展提供依据. 方法 选择湖沼型血吸虫病重度流行区的湖北省公安县2009 2013年确诊的晚期血吸虫病患者为研究对象.采用病案调查和个人问讯方法,调查内容有个人基本情况、晚期血吸虫病类型、治疗行为和疫水接触情况. 结果 公安县2009 2013年确诊晚期血吸虫病患者149例.其中,男性占67.11％ （100/149）,女性占32.89％ （49/149）;年龄主要集中在40 ～49、50 ～59岁,分别为36.24％（54/149）和30.20％ （45/149）;教育程度以小学为主,为63.76％ （95/149）;职业以农民和渔民为主,分别为83.89％ （125/149）和12.75％ （19/149）.疾病类型中,巨脾型为83.89％ （125/149）,腹水型为15.44％ （23/149）、结肠增殖型为0.67％ （1/149）.在149例患者中,有38.3％ （57/149）的患者未接受过治疗,未接受治疗的男性多于女性,差异有统计学意义（x2=4.249,P＜0.05）;61.7％ （92/149）接受过治疗的患者中,治疗次数在1～5次,平均治疗次数为1.62次/人.90.6％ （153/149）的患者因农业生产和捕鱼等生产性接触疫水,游泳等娱乐性接触疫水和生活性接触疫水均占4.7％ （7/149,7/149）.每年生产性接触疫水的天数多在31～120 d,生活性接触疫水的天数多超过120 d,每年游泳等娱乐性接触疫水的天数少于30d.结论 应加强对长期生产性接触疫水人群的血吸虫病知识健康教育,进行行为干预和病情筛查以控制病情迁延.Objective To analyze the behavior factors of advanced schistosomiasis cases for the reference of scientifically controlling the development of advanced schistosomiasis.Methods The advanced schistosomiasis cases from Gongan County,Hubei Province,where was heavily schistosomiasis endemic area of lake region,were selected for investigation during 2009-2013.The case study and questionnaire were implemented,the investigation content included demographic information,type of advanced schistosomiasis cases,history of treatment and endemic water contact.Results Totally 149 advanced schistosomiasis cases of Gongan County were diagnosed during 2009-2013.In 149 cases,male was 67.11％（100/149） and female was 32.89％（49/149）; the main age groups were 40-49 of 36.24％（54/149） and 50-59 of 30.20％（45/149）.Among them,the main educational level was primary school of 63.76％ （95/149）.As to the occupational distribution,83.89％ （125/149） and 12.75％ （19/149） were famer and fisherman.Cases with splenomegaly made up 83.89％ （125/149）,while with ascitis 15.44％ （23/149） and colonic granulomatous 0.67％ （1/149）.In 149 cases,38.3％ （57/149） never received treatment.The amount of male without treatment was more than that of female with statistical significance（x2=4.249,P＜0.05）.Among 61.7％（92/149）with treatment cases,1-5 times of treatment were carried out,the average was 1.62/person.90.6％ （153/149）cases were endemic water contact due to agricultural activity such as farming and fishing,endemic water contact due to swimming and daily-life activity were 4.7％ and 4.7％（7/149,7/149）.The annual days of endemic water contact for agricultural activity were 31～120 d,for daily-life activity was more than 120 d and for swimming was less than 30 d.Conclusion The control measures of schistosomiasis control and prevention education,behavior intervention and illness status screening should be strengthened in the population of agricultural activity with long-term endemic w

关 键 词：晚期血吸虫病 患者 行为因素 

分 类 号：R532.21[医药卫生—内科学]