甘肃省麻风病治愈存活者残疾与健康状况分析  

Analysis of disability and health status in cured survivors of leprosy in Gansu province

作　　者：张宏茂[1] 冯淑梅[1] 冯培祥 吴珊 王克俭 李卉[4] ZHANG Hong-mao;FENG Shu-mei;FENG Pei-xiang;WU Shan;WANG Ke-jian;LI Hui(Gansu Provincial Center for Disease Control and Prevention,Lanzhou,Gansu 730020,China;不详)

机构地区：[1]甘肃省疾病预防控制中心,兰州730020 [2]甘肃省甘南藏族自治州卫生学校,甘肃合作747099 [3]甘肃省甘南藏族自治州疾病预防控制中心,甘肃合作747000 [4]甘肃省兰州市疾病预防控制中心,兰州730030

出　　处：《疾病预防控制通报》2020年第2期56-59,共4页Bulletin of Disease Control & Prevention(China)

摘　　要：目的了解甘肃省麻风病治愈存活者残疾与健康状况,为治愈存活者建立康复服务体系提供基础数据。方法采用问卷调查2016年7月底登记在册的治愈存活者残疾与健康状况,并进行流行病学分析。结果604例治愈存活者中,男性416例、女性188例,65~74岁年龄组占比最高(37.75%);治愈存活者以多菌型(MB)为主(79.80%),出现畸残171例(28.31%),其中Ⅱ级畸残者129例、占75.44%;纳入社会保障259例(42.88%)、Ⅱ级畸残者占62.79%,纳入医疗保障范畴578例(95.70%)、Ⅱ级畸残者占95.35%;有生活自理能力415例(68.71%)、缺乏劳动能力295例(48.84%),Ⅰ级畸残和Ⅱ级畸残存活者生活自理能力(χ^2=59.3164)和劳动能力(χ^2=69.0306)均低于无畸残者,差异有统计学意义(P<0.05);患慢性疾病175例(28.97%),其中心脑血管疾病居第一位。结论甘肃省麻风病治愈存活者生存现状和康复状况较差;应为该群体尤其是Ⅱ级畸残者建立全面的康复服务体系,促进其身心健康,提高生存质量。Objective To explore the disability and health status of cured leprosy patients in Gansu province,so as to provide basis for establishing rehabilitation service system.Methods The disability and health status of cured leprosy survivors registered by the end of July 2016 were investigated with questionnaire,and analyzed with epidemiological methods.Results Out of the 604 cured survivors,the male and the female survivors were 416 and 188,respectively,with the highest proportion(37.75%)in age group of 65-74 years.The cured survivors with multi-bacillary(MB)type were the dominant,accounting for 79.80%.There were 171 disabled survivors,accounting for 28.31%,including 129 survivors disabled gradeⅡ(75.44%of total disabled survivors).Totally 259 survivors(42.88%)were taken into social insurance,with62.79%survivors of disability of gradeⅡ.There were 578 survivors(95.70%)enrolled in the medical insurance,including95.35%of the survivors with disability of gradeⅡ,415 survivors(68.71%)with self-help ability,and 295 survivors(48.84%)lacking of labor ability.The self-care ability(χ^2=59.3164)and labor ability(χ^2=69.0306)in the survivors with disability of gradeⅠandⅡwere lower than that in the survivors without disability,and difference were statistically significant(P<0.05).There were 175 survivors(28.97%)had chronic diseases,with the cardiovascular and cerebrovascular diseases ranking the first.Conclusions The current living situation and rehabilitation status in the cured leprosy survivors are poor in Gansu province.The comprehensive rehabilitation service system should be built for these people,especially for the survivors with disability of gradeⅡto promote their physical,mental health and the quality of life.

关 键 词：麻风病 治愈存活者 生存现状 畸残 

分 类 号：R755[医药卫生—皮肤病学与性病学]