四川省血吸虫病血清学阳性者及晚期血吸虫病病人回顾性调查  

Retrospective Investigation of the Serological Positive and the Advanced Schistosomiasis Cases in Sichuan Province

作　　者：张宇 钟波[1] 陈琳[1] 吴子松[1] 徐佳[1] 王楠楠 刘阳[1] ZHANG Yu;ZHONG Bo;CHEN Lin;WU Zisong;XU Jia;WANG Nannan;LIU Yang(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2020年第6期672-677,共6页Journal of Preventive Medicine Information

摘　　要：目的进一步查清四川省既往血吸虫病病人底数和个案信息,对全省血吸虫病血检阳性者个案调查及其病例信息进行回顾性调查,为制订专项救治方案、实施血吸虫病病人动态管理提供参考。方法回顾性收集2017-2018年四川省63个血吸虫病流行县(市、区)以及成都市天府新区的血吸虫病既往病人个案信息。使用Excel 2007建立数据库,SPSS25.0进行数据统计分析,计数资料使用例数和百分率表示,使列联表卡方检验对不同组间构成比进行比较,以P<0.05为差异有统计学意义;计量资料使用均数±标准差表示。结果四川省11个市(州),63个血吸虫病流行县(市、区),上报个案的有10个市(州),56个县(市、区),共录入调查个案73 522例,其中晚期血吸虫病病人1 543例,血检阳性者71 979例。晚期血吸虫病病人和血检阳性者按市州分布以眉山、德阳等地居多;以区县为单位则东坡区均为第1位。结论四川省晚期血吸虫病疫情稳定,但血清学阳性者数量较大,提示四川省血吸虫病仍然有疫情反复的可能,各地应结合此次调查结果制定相应的防治计划,进一步巩固四川省血吸虫病防治效果。Objective To further investigate the number of schistosomiasis patients and case information and retrospectively investigate the case information of schistosomiasis patients in Sichuan province.Methods Data of patients with schistosomiasis in 63 endemic counties(cities and districts)and Chengdu Tianfu New Area of Sichuan province were collected retrospectively from 2017 to 2018.Excel 2007 was used to establish the database,SPSS25.0 was used for statistical analysis of data,the counting data was calculated in the number of cases and percentage,and the chi-square test of contingency table was used to compare the composition ratio between different groups.P value less than 0.05 was considered statistically significant.Measurement data was calculated in mean±standard deviation.Results There were 10 cities(states),56 schistosomiasis epidemic counties(cities,districts)of the 11 cities(states),63 schistosomiasis epidemic counties(cities,districts)reported the case and finally 73532 survey cases input in total,among them,1543 cases were advanced schistosomiasis patients and 71979 cases were positive in the blood test.The patients with advanced schistosomiasis and those with positive blood test results were mainly distributed in Meishan and Deyang by city and state,when it comes to the district and county,Dongpo district were the first.Conclusion The epidemic situation of advanced schistosomiasis in Sichuan is stable,but the number of serologically positive patients is still large.It is suggested that schistosomiasis in Sichuan Province still has the possibility of repeated epidemics.Given this,the local governments should make effective control plans based on the survey results to further consolidate the effect of schistosomiasis control and prevention in Sichuan province.

关 键 词：血清学阳性者 晚期血吸虫病病人 血吸虫病 

分 类 号：R181.3[医药卫生—流行病学]