广西地区慢性病患者肠道原虫感染现状分析  

Analysis on status quo of intestinal protozoan infections among patients with chronic diseases in Guangxi area

作　　者：胡缨[1] 邓雪连[1] 史吉莹[2] 李艳文[3] 

机构地区：[1]广西医科大学第一附属医院检验科,南宁530021 [2]广西医科大学第一附属医院高血压病区,南宁530021 [3]广西医科大学寄生虫学教研室,南宁530021

出　　处：《检验医学与临床》2017年第17期2497-2499,共3页Laboratory Medicine and Clinic

基　　金：广西壮族自治区卫生和计划生育委员会科研项目(Z2016326)

摘　　要：目的了解广西地区慢性病患者的肠道原虫感染情况及临床特点,为采取防治措施提供科学依据。方法对2016年3-8月广西医科大学第一附属医院收治的603例慢性病患者进行肠道原虫的病原学检查,并调查分析感染情况。结果受检者中肠道原虫感染124例(20.56%)。共检出5种肠道原虫,感染率分别为人芽囊原虫17.08%、溶组织内阿米巴1.49%、蓝氏贾第鞭毛虫0.82%、结肠小袋纤毛虫0.50%和人毛滴虫0.66%。感染人群的性别、年龄差异无统计学意义(P>0.05);农民感染率最高(33.33%);消化系统疾病组感染率明显高于其余慢性病类别组(P<0.05)。感染者多有不良卫生习惯且无特异性临床表现。结论广西地区慢性病患者中存在一定程度的肠道原虫感染,应将肠道原虫的病原学检查列为常规检测项目。Objective To understand the intestinal protozoan infection situation and its clinical characteristics among the patients with chronic diseases in Guangxi area so as to provide the scientific basis for adopting the preventing and treatment measures.Methods The etiological examination of intestinal protozoan was performed in 603 patients with chronic diseases treated in our hospital from March 2016 to August 2016.Then the infection situation was investigated and analyzed.Results Among the detected subjects,124 cases were intestinal protozoan infection,accounting for 20.56%.Five kinds of intestinal protozoan were detected out,the infection rates were 17.08% for Blastocystis hominis,1.49%for Entamoeba histolytica,0.82% for Blue′s jia first giardia,0.50% for Balantidium coli and 0.66% for trichomonas hominis.The age and sex had no statistically significant differences among infection population（P0.05）.Farmers had highest infection rate（33.33%）.The infection rate of the digestive system group was significantly higher than that the rest chronic disease groups（P0.05）.Most infected patients had adverse health habits,moreover had nonspecific clinical manifestations.Conclusion There was a certain degree of intestinal protozoan infection among the patients with chronic diseases in Guangxi area.The etiological examination of intestinal protozoan should be ranked as the routine detection index.

关 键 词：肠道原虫 慢性病 感染 

分 类 号：R725.31[医药卫生—儿科]