云南宾川一起肝片吸虫病暴发的危险因素调查  

Risk Factors for Human Fascioliasis in Binchuan County,Yunnan Province

作　　者：李芫苑 何继波[2] 姜黎黎[2] 林灿松[3] 周舟[3] 李鸿钧[3] 刘玉华 王文林[1] 徐闻[2] 

机构地区：[1]昆明医科大学,云南昆明650500 [2]云南省疾病预防控制中心,云南昆明650022 [3]大理州疾病预防控制中心,云南下关671000 [4]大理州血吸虫病防治所,云南大理671000

出　　处：《昆明医科大学学报》2014年第8期37-41,共5页Journal of Kunming Medical University

基　　金：云南省应用基础研究基金资助项目(2012FB025);云南省公共卫生与疾病防控协同创新中心资助项目(2014YNPHXT01)

摘　　要：目的 调查和分析肝片形吸虫病发病的危险因素,为有效防控肝片形吸虫病的暴发和流行提供依据.方法 采用病例对照研究的方法,选取现症患者为病例组,以年龄和性别匹配,在病例居住最近的范围内选择2～3个对照,用统一问卷收集资料,利用EpiData建立数据库,用SPSS统计软件对数据进行分析,单因素分析采用x2检验及秩和检验进行分析,多因素分析利用非条件Logistic回归分析.结果 每周吃凉拌菜3次以上、食凉拌莴笋和购买凉拌菜是患病的危险因素.结论 加强健康宣教,提高居民食品卫生意识,加强放牧管理和畜病防治,防止粪便污染,改善椎实螺孳生环境.Objective To determine the risk factors for human fascioliasis in Binchuan County.Methods Community-based case-control study was conducted in Binchuan County,by using a structured questionnaire from interview.Enrolled participants were 72,including 18 patients as cases in the hospital,and 54 community controls selected from the nearest households surrounding patient households.Cases and controls were matched with gender and age.Chi-square test and Logistic regression were employed for analysis of data.Results Eating salad vegetable three times every week,salad lettuce and salad vegetable purchased from market were risk factors for human fascioliasis.Conclusion The most effective public health measures include strengthening health education,improving food health awareness of residents,strengthening grazing management and domestic animal disease control,preventing fecal pollution and improving environment to avoid survival.of Limnea peregra.

关 键 词：肝片吸虫 暴发 危险因素 病例对照 

分 类 号：R183.5[医药卫生—流行病学]