2003—2019年洛阳市并殖吸虫病病例调查分析  

Investigation and analysis of paragonimiasis prevalence in Luoyang City from 2003 to 2019

作　　者：李云霞[1] 孙毅莹 梁娜 艾琳[2] 田利光[2] LI Yun-xia;SUN Yi-Ying;LIANG Na;AI-Lin;TIAN Li-Guang(Luoyang Center for Disease Control and Prevention,Luoyang 471023,Henan Province,China;National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention)

机构地区：[1]洛阳市疾病预防控制中心,河南洛阳471023 [2]中国疾病预防控制中心寄生虫病预防控制所

出　　处：《热带病与寄生虫学》2021年第2期86-88,共3页Journal of Tropical Diseases and Parasitology

摘　　要：目的了解洛阳市并殖吸虫病发病情况及流行特征,为开展并殖吸虫病的预防控制提供依据。方法收集2003—2019年洛阳市仁和门诊(不明原因发热门诊)及全民健康保障疾控信息系统记录的并殖吸虫病患者就诊资料,对病例的疫源地分布情况、就诊或发病时间、临床特征以及人群特征等进行统计分析。结果 2003—2019年洛阳市共发现61例并殖吸虫病病例,其中男性37例,女性24例。2003—2019年每年都有并殖吸虫病病例报告,其中2011年病例数最多,有16例。病例数最多的县是栾川县,有15例,其次是洛宁县13例,嵩县10例,宜阳县6例,该四县病例数占总病例数的72.13%。发病年龄以10岁及以下儿童居多,占所有病例的55.74%。95.08%的病例发病前有生食、半生食溪蟹,生饮溪水或接触溪蟹的行为。首诊症状为发热的39例,占63.93%,其次为咳嗽、咳痰、腹部腋下包块等。结论洛阳市并殖吸虫病呈散发状态,应加强重点县和重点人群的宣传教育,提高当地医疗卫生机构的诊疗意识和水平。Objective To understand the incidence and epidemic characteristics of paragonimiasis in Luoyang area for evidence in prevention and control of this prevalence.Methods The clinical data were collected from the records of patients with paragonimiasis diagnosed in local Renhe Outpatient Clinic(a clinic for fever of unknown origin)and records maintained in the Information System for National Health Insurance and Disease Control of Luoyang City from 2003 to 2019,and then statistically analyzed pertinent to the distribution of endemic foci,time of treatment or onset,clinical characteristics and demographic characteristics.Results Totally,61 cases(37 males and 24 females)of paragonimiasis were annually reported in Luoyang from 2003 to 2019.The incidence was the most in 2011,with 16 cases reported.Luanchuan County had the largest number of cases(15 cases),followed Luoning County(13 cases),Songxian County(10 cases)and Yiyang County(6 cases),which accounted for 72.13%of the total cases,and children under 10 years were most affected(55.74%).95.08%of the patients had history of intake of uncooked or half-cooked creek crabs,drink of raw steam water or exposure to creek crabs before infection.Fever was seen in 63.93%of the patients in the first clinic visit,and other symptoms were associated with cough,expectoration,mass at the abdominal and axillary region and others.Conclusion Prevalence of paragonimiasis is sporadic in population in Luoyang City.Nevertheless,it is necessary to strengthen the publicity and education in key population and key areas,as well as improve the diagnosis and treatment level and awareness of professionals in local institutions.

关 键 词：并殖吸虫病 流行特征 洛阳市 

分 类 号：R532.22[医药卫生—内科学]