1996-2018年江苏省连云港市麻风病流行病学特征分析  

Analysis on epidemiological characteristics of leprosy in Lianyungang of Jiangsu Province from 1996 to 2018

作　　者：付鑫 徐素珍 杨皓舒 仲崇桥 徐正涛 FU Xin;XU Suzhen;YANG Haoshu;ZHONG Changqian;XU Zhengtao(Lianyungang Center for Disease Control and Prevention,Jiangsu222003,China)

机构地区：[1]连云港疾病预防控制中心,江苏222003 [2]连云港市赣榆区疾病预防控制中心

出　　处：《医学动物防制》2020年第7期697-699,共3页Journal of Medical Pest Control

基　　金：江苏省预防医学课题(Y2018044)。

摘　　要：目的了解1996-2018年连云港市麻风新发病例流行特征,为制定防控策略提供参考依据。方法对连云港市1996-2018年麻风新发病例资料信息汇总整理,采用描述流行病学方法进行分析。结果 1996-2018年连云港市麻风新发病例共98例,东海县分布最多,共37例,占37.76%;年均发病率由0.20/10万降至0.02/10万,明显下降(χ^2趋势=42.474,P<0.01),处于低流行状态。年龄最大84岁、最小17岁,平均44.08岁;男女比为2.38∶1;多菌型与少菌型比为8.8∶1;新发麻风病例Ⅱ级畸残26例,占26.53%;皮肤科门诊病例占41.84%。结论 1996-2018年连云港市麻风新发病例数量呈现下降趋势,处于低流行状态,但仍有新发病例出现。需完善防治网络,加强培训,结合主、被动发现方式,做到早期发现病例,及时治疗,控制麻风危害。Objective To understand the epidemiological characteristics of new leprosy cases in Lianyungang from 1996 to 2018,and to provide reference for the formulation of leprosy prevention and control strategies.Methods The data of new leprosy cases in Lianyungang from 1996 to 2018 were collected,and then they were analyzed by descriptive epidemiological method.Results From 1996 to 2018,there were 98 new cases of leprosy in Lianyungang.The incidence was mainly concentrated in Donghai County(37 cases),which accounted for 37.76%of the total cases.The average annual incidence rate dropped from 0.20/100000 to 0.02/100000,which decreased significantly(χ^2tendency=42.474,P<0.01),and leprosy was in a low prevalence state.Among the cases,the oldest person was 84 years old and the youngest one was 17 years old,with an average age of 44.08 years.The ratio of males to females was 2.38∶1,and the ratio of MB(multibacillary leprosy)to PB(paucibaeillary leprosy)was 8.8∶1.There were 26 cases of grade II disability in new leprosy cases,accounting for 26.53%,and there were 41.84%of cases were found in dermatology clinics.Conclusion From 1996 to 2018,the number of new cases of leprosy in Lianyungang showed a downward trend and the disease was in a low prevalence state,but there were still new cases.It is necessary to improve the prevention and control network,strengthen training,and combine active and passive detection methods so as to early detect cases,ensure timely treatment and control the hazards of leprosy.

关 键 词：麻风病 新发病例 多菌型 少菌型 流行病学 分析 

分 类 号：R755[医药卫生—皮肤病学与性病学]