湖北省慢性丝虫病患者流行病学调查  

Epidemiological investigation of chronic filariasis disease patients in Hubei Province

作　　者：张娟[1] 夏菁[1] 张华勋[1] 郑力[1] 吴冬妮[1] 万伦[1] 裴速建[1] 曹慕民[1] ZHANG Juan;XIA Jing;ZHANG Huaxun;ZHENG Li;WU Dongni;WAN Lun;PEI Sujian;CAO Mumin(Hubei Provincial Center for Disease Control and Prevention,Wuhan 430079,China)

机构地区：[1]湖北省疾病预防控制中心,武汉430079

出　　处：《公共卫生与预防医学》2020年第2期94-97,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的了解湖北省慢性丝虫病患者数量及患病情况,为患者开展有效关怀照料提供依据。方法对全省登记在册的慢性丝虫病患者进行走访,调查患者一般情况、既往微丝蚴检查结果,目前临床症状、体征及病情发作情况。结果共调查慢性丝虫病患者487例,年龄最小32岁,最大97岁,平均76岁,80~89岁者最多,占44.97%;男性占46.61%,女性占54.39%;职业以农民为主,占89.94%;淋巴管/结炎占72.28%、象皮肿占88.91%、乳糜尿占11.29%、鞘膜积液占6.16%。352例淋巴管/结炎患者中,96.02%的发作部位以腹股沟和下肢为主。433例淋巴水肿/象皮肿患者中,左、右腿分期主要集中在Ⅰ~Ⅲ期,无Ⅶ期病例。55例乳糜尿症状患者中,排尿困难占30.91%。30例鞘膜积液患者中,17例有压痛感,透光试验阳性8例。结论湖北省慢性丝虫病患者随自然减员逐步减少,各级疾控及基层医疗单位应给予慢性丝虫病患者更多的关怀和照料,以减轻其症状、提高其生活质量。鉴于全球尚未消除丝虫病,对出国赴丝虫病流行区务工人员仍需加强监测。Objective To understand the number and prevalence of chronic filariasis patients in Hubei Province,and to provide a basis for effective care for patients.Methods The chronic filariasis patients registered in Hubei Province were interviewed to investigate the general condition of patients,the results of previous microfilaria examinations,and the current clinical symptoms,signs and onset of illness.Results A total of 487 chronic filariasis patients were investigated.The youngest was 32 years old,the oldest was 97 years old,and the average age was 76 years old.The 80-89 years old group had the largest number,accounting for 44.97%.The male accounted for 46.61%,and the female accounted for 54.39%.The occupation was dominated by farmers,accounting for 89.94%.Patients with lymphangitis accounted for 72.28%,with dermatitis accounted for 89.12%,with chyluria accounted for 11.29%,and with hydrocele accounted for 6.16%.Among the 352 patients with lymphangitis/lymphadenitis,the site of the attack was mainly at groin and lower limbs,accounting for 96.02%.Among the 433 patients with lymphedema/elephantiasis,the disease staging of the left and right legs was mainly concentrated in stage I-III,and there was no stage VII patient.Among the 55 patients with chyluria,the dysuria accounted for 30.91%.Of the 30 patients with hydrocele,17 had tenderness,and 8 had positive light transmission tests.Conclusions Chronic filariasis patients in Hubei Province gradually decreased with the natural attrition.More care should be given by CDC at all levels and primary medical units to patients with chronic filariasis to alleviate their symptoms and improve their quality of life.Since the filariasis has not been eliminated globally,it is still necessary to strengthen the surveillance of migrant workers who go abroad to filariasis-endemic areas.

关 键 词：慢性丝虫病 现状调查 流行病学 

分 类 号：R532.15[医药卫生—内科学]