福建省第三次儿童蛲虫感染调查分析  

The third survey on Enterobius vermicularis infection in children in Fujian Province

作　　者：谢贤良[1] 谢汉国[1] 江典伟[1] 陈云虹 陈宝建[1] XIE Xian-liang;XIE Han-guo;JIANG Dian-wei;CHEN Yun-hong;CHEN Bao-jian(Fujian Provincial Center for Disease Control and Prevention(Priority Laboratory for Zoonoses Research of Fujian),Fuzhou 350001,China)

机构地区：[1]福建省疾病预防控制中心(福建省人兽共患病研究重点实验室),福州350001

出　　处：《中国寄生虫学与寄生虫病杂志》2020年第5期607-610,共4页Chinese Journal of Parasitology and Parasitic Diseases

摘　　要：按全国第三次重点寄生虫病现状调查要求,福建省于2015-2017年,以生态区为基础,根据当地经济条件和地理方位将全省的县(市)分为东、西、南、北、中5个片区方位进行分层整群随机抽样,每个片区抽取1~2所幼儿园,采用透明胶纸肛拭法,检查3~6岁儿童蛲虫感染情况。结果共调查15个县(市)区3 472名儿童,检出蛲虫感染205例,感染率为5.90%,较第一、第二次寄调分别下降87.38%、 73.21%。男童蛲虫感染率为7.24%(128/1 769),高于女童的4.52%(77/1 703)(P <0.05),且随年龄增加呈现上升趋势,以6岁年龄组感染率最高为7.39%(95/1 285),各年龄组感染率差异有统计学意义(P <0.05)。经济条件发达县的儿童蛲虫感染率为4.27%(86/2 016),低于中等水平县的7.22%(52/720)和不发达县的9.10%(67/736)(P <0.05)。浙、闽山地丘陵生态区的儿童蛲虫感染率为4.48%(58/1 294),低于滇、桂、粤中部、闽南山地丘陵生态区的6.75%(147/2 178)(P <0.05)。公立幼儿园儿童蛲虫感染率为4.40%(59/1 340),低于私立幼儿园的6.85%(146/2 132)(P <0.05)。蛲虫感染率以漳州市最高,为15.59%(63/404),厦门市最低,为2.51%(10/398)。提示福建省儿童蛲虫感染率较第二次调查有显著下降,仍需加强监测与防控工作。According to the scheme of the 3 rd National Survey of Principal Human Parasitic Diseases,a survey on Enterobius vermicularis infection among children was performed in Fujian Province in 2015-2017.Based on the ecological category,economic condition and geographical location of the region,all counties(cities)were listed into the east,south,west,north and middle regions of the province respectively,for stratified cluster random-sampling.One to two kindergartens were selected from each region,and E.vermicularis infection was examined in children aged 3-6 years by using the adhesive cellophane anal swab.A total of 3472 children in 15 counties(cities)were examined,and 205 children were found having E.vermicularis infection,with an infection rate of5.90%,which was decreased by 87.38%and 73.21%as compared to the first and second surveys,respectively.The prevalence of E.vermicularis was 7.24%(128/1769)in boys,higher than that in girls(4.52%,77/1703)(P<0.05),and the prevalence showed a trend of increasing with age.The infection rate was highest in the age group of 6 years(7.39%,95/1285),and the difference between all age groups was statistically significant(P<0.05).The infection rate in the economically advanced regions was 4.27%(86/2016),significantly lower than those in the medium-(7.22%,52/720)and less-developed regions(9.10%,67/736).The infection rate in the Zhejiang-Fujian mountainous and hilly ecological regions was 4.48%(58/1294),significantly lower than that in the Yunnan-Guangxicentral Guangdong-southern Fujian mountainous and hilly ecological regions(6.75%,147/2178).The infection rate was significantly lower in public(4.40%,59/1340)than in private kindergartens(6.85%,146/2132)(P<0.05).The infection rate of E.vermicularis was highest in Zhangzhou City(15.59%,63/404)and lowest in Xiamen City(2.51%,10/398).The results suggest that the infection rate of E.vermicularis was significantly decreased compared to the second survey,but there still need to strengthen the surveillance and control of E.vermicularis infection.

关 键 词：蛲虫 儿童 感染率 福建省 

分 类 号：R532.13[医药卫生—内科学]