青海省果洛藏族自治州学生棘球蚴病流行病学调查  

Epidemiological investigation on hydatidosis in students of Guluo Tibetan Autonomous Prefecture in Qinghai Province

作　　者：程时磊 蔡辉霞[1] 马霄[1] 张静宵[1] 刘娜[1] 张雄英[1] 史可梅 刘玉芳[1] CHENG Shi-lei;CAI Hui-xia;MA Xiao;ZHANG Jing-xiao;LIU Na;ZHANG Xiong-ying;SHI Ke-mei;LIU Yu-fang(Qinhai Institute for Endemic Disease Prevention and Control,Xining 811602,China)

机构地区：[1]青海省地方病预防控制所,西宁811602

出　　处：《中国寄生虫学与寄生虫病杂志》2018年第4期349-351,共3页Chinese Journal of Parasitology and Parasitic Diseases

摘　　要：为了解青海省果洛藏族自治州(简称"果洛州")学生棘球蚴病的流行情况,2012年采用B超和ELISA方法对果洛州6个县40个乡(镇)50所学校6～19周岁的全体学生进行普查。结果显示,果洛州学生棘球蚴病检出率为2.9%(247/8 597),血清抗体阳性率为16.1%(1 218/7 552)。达日县棘球蚴病检出率和血清抗体阳性率最高,分别为5.6%(124/2 225)和23.0%(428/1 861),不同县间棘球蚴病检出率和血清抗体阳性率差异均有统计学意义(χ~2=228.314、100.449,P<0.05)。男、女性棘球蚴病检出率分别为2.7%(116/4 232)和3.0%(131/4 365),差异无统计学意义(P>0.05);男、女性血清抗体阳性率分别为15.7%(579/3 698)和16.6%(639/3 854),差异无统计学意义(P>0.05)。13～19岁学生的棘球蚴病检出率最高,为7.6%(57/750);8～岁学生的血清抗体阳性率最高,为18.5%(214/1 159),不同年龄组人群棘球蚴病检出率和血清抗体阳性率差异均有统计学意义(χ~2=75.088、27.994,P<0.05)。果洛州学生棘球蚴病流行较为严重。To understand the prevalence of hydatidosis in students of Guluo Tibetan Autonomous Prefecture,Qinghai Province,（ referred to as Guluo Prefecture hereafter）, ELISA and B-ultrasonography were performed in students of 6 to 19-year from 50 schools in 40 towns of 6 counties in the Prefecture in 2012. The results showed that the hydatidosis prevalence by ultrasound was 2. 9 %（ 247/8 597） and the positive rate of serum antibody was 16. 1 %（ 1 218/7 552） among the students. Both indices were highest in Dari county（ 5. 6 %, 124/2 225;23. 0 %, 428/1 861, respectively）, and were significantly different among counties（ χ^2= 228.314 and 100.449, P〈0.05）. The prevalence in males and females was 2.7%（116/4 232） and 3.0%（131/4 365）, respectively（ P〉0.05）.The serum antibody positive rates in males and females were 15.7%（579/3 698） and 16.6%（639/3 854）,respectively（P〉0.05）. Among different age groups, the group of 13-19 years had the highest prevalence（7.6%,57/750）, while the group of 8-9 years had the highest serum antibody positive rate（18.5%, 214/1 159）, both showed significant difference among age groups（ χ^2= 75.088, 27.994, P〈0.05）. These results show a high prevalence of hydatidosis in Guluo Prefecture.

关 键 词：棘球蚴病 学生 流行病学 调查 青海省果洛州 

分 类 号：R532.32[医药卫生—内科学]