广东省五华县居民华支睾吸虫感染现状及相关危险因素研究  

The infection status and related risk factors of clonorchiasis sinensis in Wuhua county,Guangdong province

作　　者：李钦鉴 谢文波[1] 李群飞 LI Qinjian;XIE Wenbo;LI Qunfei(Inspection Department,the people′s Hospital of Wuhua County,Meizhou 514400,China)

机构地区：[1]梅州市五华县人民医院检验科,广东梅州514400

出　　处：《实用医学杂志》2018年第13期2251-2254,共4页The Journal of Practical Medicine

摘　　要：目的了解广东省五华县华支睾吸虫的人群感染状况及居民认知、行为情况对华支睾吸虫感染的影响。方法通过以多阶段整群随机抽样的方法,从16个乡镇中选取4个乡镇,再从每个乡镇选择2个村共1 436人进行问卷调查,同时用ELISA法检测华支睾吸虫抗体。结果共调查1 436名居民,人群血清抗体阳性率为9.61%。多因素Logistic回归表明高年龄、未听过华支睾吸虫病、每年吃鱼生次数在5次或以上和在餐厅吃鱼生是华支睾吸虫病抗体阳性的影响因素,其OR值和95%CI分别为2.424(1.807~3.253)、1.310(1.004~1.71)、3.175(1.402~7.191)和1.338(1.054-1.698)。结论广东五华县华支睾吸虫感染率较高,居民对华支睾虫有一定的认知,但仍有待加深,与居家食用鱼生相比,餐厅内华支睾虫的感染风险显著增加,仍应进一步加强防控。Objective To investigate the infection status of clonorchiasis in Wuhua county,Guangdong province,and the influence of residents′cognition and behavior on the infection of clonorchiasis.Method 4 towns were selected by multi-stage cluster random sampling method.Two villages were chosen for investigation.The questionnaire was surveyed in 1436 people,ELISA was used to detect antibody of clonorchid at the same time.Results A total of 1,436 residents were surveyed,the positive rate of serum antibody was 9.61%.1187(82.66%).Multivariable Logistic regression showed that aging,never heard of clonorchiosis,eating fish in 5 times or above a year and eating fish in the restaurant are the influence factors of positive clonorchiosis antibody,and the OR value and 95%CI were 2.424(1.807 3.253),3.175(1.402 7.191),1.402(1.004 1.71)and 1.338(1.054 1.698)respectively.Conclusion There is a high prevalence of Clonorchis sinensis in Wuhua County,Guangdong Province.there is a significant increase in the risk of infection in restaurants,and further prevention and control should be strengthened.

关 键 词：华支睾吸虫 血清学调查 感染率 

分 类 号：R532.23[医药卫生—内科学]