广东省清远市华支睾吸虫门诊病例流行病学特征  

Epidemiological characteristics of outpatients with Clonorchis sinensis infection in Qingyuan,Guangdong

作　　者：杨普贤 黎杏如 范秀红[2] YANG Puxian;LI Xingru;FAN Xiuhong(Center for Disease Control and Prevention of Qingxin District of Qingyuan City,Qingyuan,Guangdong 511800,China)

机构地区：[1]清远市清新区疾病预防控制中心,广东清远511800 [2]清远市疾病预防控制中心,广东清远511515

出　　处：《中国热带医学》2018年第11期1160-1161,1171,共3页China Tropical Medicine

摘　　要：目的了解清远市疾病预防控制中心门诊就诊人群的肝吸虫感染、相关生活习惯和健康知识知晓情况,为今后开展肝吸虫病防治工作提供科学依据。方法对2008—2015年就诊患者采集粪便,采用改良加藤氏法进行肝吸虫卵检查,对虫卵阳性者进行个案调查。采用SPSS13.0软件进行统计分析。结果 2008—2015年就诊人数共2 204人,虫卵阳性者752人,阳性率为34.12%。男、女性患者阳性率分别为37.24%和24.29%,差异有统计学意义(P<0.01)。患者年龄组中以31～50岁阳性率最高,不同年龄组间差异有统计学意义(P<0.01)。患者中以工人阳性率最高,为41.11%,不同职业患者阳率差异有统计学意义(P<0.01)。食用鱼生比非食用者风险更高(OR=2.84);人群相关生活习惯及健康知识调查显示对肝吸虫病知晓率较高。结论开展对有食鱼生史人群的肝吸虫病防治知识宣传和健康教育及定期开展查治是肝吸虫病防控的关键措施。Objective To understand the epidemic situation of Clonorchis sinensis（liver fluke）infection and the related living habits and health knowledge of outpatients visiting the clinic of the Center for Disease Control and Prevention of Qingyuan City,so as to provide the evidence for carry out the prevention and control of the disease in the future.Methods The patients who visited the clinic from 2008 to 2015 were tested for C.sinensis eggs by using Kato-Katz thick smear method,and egg-positive individuals were investigated for the related living habits and health knowledge,and the results were statistically analyzed by SPSS13.0 software.Results The total number of the outpatients was 2 204 between 2008 and 2015,and 752 cases were egg-positive,with a positive rate of 34.12%.The positive rates of the male and female patients were 37.24% and 24.29%,respectively,and there was a significant difference between the gender groups（P〈0.01）.In the age groups,the highest positive rate was in the 31-50 years age groups.and the difference was statistically significant among different age groups（P〈0.01）.Among different career groups,the highest positive rate was 41.11% in the worker group,and there was a significant difference among these career groups（P〈0.01）.Meanwhile,the risk of people eating raw fish was higher than that of people not eating raw fish（OR=2.84）.The population survey about C.sinensis infection-related habits and health knowledge showed that the the awareness rate of the residents about C.sinensis infection was high.Conclusion s The people with the history of eating raw fish are the high risk population and they have a higher chance of C.sinensis infection.Therefore,it is the key measures to strengthen the health education about the prevention and control of C.sinensis infection among the high-risk populations and to carryout the regular inspections.

关 键 词：华支睾吸虫 改良加藤厚涂片法 阳性率 知识调查 

分 类 号：R532.23[医药卫生—内科学]