2007—2018年桐乡市晚期血吸虫病调查与救治  

Investigation and treatment of advanced schistosomiasis in Tongxiang from 2007 to 2018

作　　者：张红芳[1] 钱华[1] 王国华[1] 刘建[1] Zhang Hongfang;Qian Hua;Wang Guohua;Liu Jian(Tongxiang Center for Disease ControlandPrevention, Jiaxing 314500,China)

机构地区：[1]浙江省桐乡市疾病预防控制中心,浙江嘉兴314500

出　　处：《中国医院统计》2020年第5期472-475,共4页Chinese Journal of Hospital Statistics

基　　金：桐乡市科学技术局科技计划项目(201902352)。

摘　　要：目的对现存的晚期血吸虫病人开展调查和医疗救助,为完善晚期血吸虫病防治工作提供政策依据。方法2007—2018年对桐乡市现存晚期血吸虫病人开展调查,对纳入救治的病人进行医疗救助和转归情况分析。结果全市2007—2018年间调查并纳入晚期血吸虫病医疗救助的病人共180例,其中男83例,女97例,性别比1∶1.17,病例平均年龄65.24岁;病例分布在全市10个镇(街道),与历史疫情轻重分布一致,病例文化程度较低,以文盲为主,职业以农民为主,占81.11%,病例临床类型以巨脾型为主占79.44%,腹水型次之占20.00%,好转和病情稳定占54.44%。期间因高龄或并发症死亡82例,其中以肝硬化、上消化道出血及肝癌等并发症死亡占51.22%,不同年份随病例年龄增加,晚期血吸虫病人的死亡呈现逐年线性递增趋势。12年共投入医疗救助的费用570.41万元,人均3.17万元。结论桐乡市晚期血吸虫病人主要分布于重疫区,高龄患者多,以农民为主,接受教育的程度普遍较低,病程长,应长期随访并开展医疗救助,改善病人的生活质量,提高生存率。Objective To carry out an investigation and medical treatment of advanced schistosomiasis patients,and to provide policy basis for improving the prevention and control of advanced schistosomiasis.Methods From 2007 to 2018,an investigation was carried out on the existing advanced schistosomajaponicum patients in Tongxiang City,and the medical assistance and outcome of the patients included in the treatment were analyzed.Results One hundred and eighty patients with advanced schistosomiasis in this city from 2007 to 2018 were investigated and included in medical assistance,including 83 males and 97 females,with a sex ratio of 1∶1.17 and an average age of 65.24.The cases were distributed in 10 towns of the city,consistent with the historical epidemic situation.The cases had a low level of education,with illiteracy accounting for 81.11%,with the main occupation of farmers.The main clinical type was megaspleen type(79.44%),with ascites type(20.00%)the next.Improvement and stability accounted for 54.44%.During the period,82 patients died of advanced age or complications,of whom 51.22%died of complications such as cirrhosis,upper gastrointestinal hemorrhage and liver cancer.The mortality of the patients with advanced schistosomiasis showed a linear increasing trend,with the increase of age.A total of 5,704,100 yuan,or 31,700 yuan per person,was invested in medical assistance in 12 years.Conclusion The advanced schistosomiasis patients in Tongxiang are mainly distributed in the severe epidemic area.Most of them are elderly patients,mainly farmers,with low level of education and long course of disease.Long-term follow-up and medical assistance should be carried out to improve the quality of life and survival rate of the patients.

关 键 词：晚期血吸虫病 调查 医学救助 

分 类 号：R195.4[医药卫生—卫生统计学]