2017-2018年青海省久治县人群棘球蚴病患病及防治知识知晓情况  

Echinococcosis prevalence and knowledge awareness in population in Jiuzhi County of Qinghai Province during 2017-2018

作　　者：刘佳[1] 雷雯[1] 马霄[1] 张雪飞[1] 樊海宁[2] 王威[1] 张青 马俊英[1] 蔡辉霞[1] 詹培珍 张静宵[1] 刘玉芳[1] 刘娜[1] 王永顺[1] 赵存哲 张雄英[1] 史可梅 尹秀琴 尚顺鑫 LIU Jia;LEI Wen;MA Xiao;ZHANG Xue-fei;FAN Hai-ning;WANG Wei;ZHANG Qing;MA Jun-ying;CAI Hui-xia;ZHAN Pei-zhen;ZHANG Jing-xiao;LIU Yu-fang;LIU Na;WANG Yong-shun;ZHAO Cun-zhe;ZHANG Xiong-ying;SHI Ke-mei;YIN Xiu-qin;SHANG Shun-xin(Qinghai Institute for Endemic Disease Prevention and Control,Xining 811602,China;Qinghai University Affiliated Hospital,Xining 810000,China;Jiuzhi Center for Disease Control and Prevention,Guoluo 814499,China)

机构地区：[1]青海省地方病预防控制所,西宁811602 [2]青海大学附属医院,西宁811602 [3]久治县疾病预防控制中心,果洛814499

出　　处：《中国寄生虫学与寄生虫病杂志》2021年第5期681-686,共6页Chinese Journal of Parasitology and Parasitic Diseases

基　　金：青海省科技厅重大科技专项(2016-SF-A5)。

摘　　要：目的了解2017-2018年青海省久治县人群棘球蚴病患病及防治知识知晓情况。2017-2018年,对久治县7个乡(镇) 2岁以上常住居民采用整群随机抽样方法,进行B超影像学检查,了解人群棘球蚴病患病情况;针对不同职业人群随机开展棘球蚴病防治知识现场问卷调查,了解人群棘球蚴病防治知识知晓情况。率的比较采用卡方检验。结果共对久治县25 238人进行了B超影像学检查,检出棘球蚴病患者798例,患者检出率为3.2%;其中细粒棘球蚴病患者245例(占30.7%),多房棘球蚴病患者549例(占68.8%),混合型棘球蚴病患者4例(占0.5%)。女性棘球蚴病检出率为4.0%(498/12 327),高于男性的2.3%(300/12 911)(χ2=60.668, P <0.01)。60岁以下人群棘球蚴病检出率随年龄增长而增高,其中,50~60岁人群棘球蚴病检出率最高,为8.0%(141/1 756)(χ2=439.082, P <0.01)。不同文化程度人群中以文盲人群棘球蚴病检出率最高,为20.7%(693/3 356)(χ2=3 871.087, P <0.01)。冬季定居夏季游牧人群棘球蚴病检出率为4.0%(743/18 561),高于定居人群的0.8%(55/6 677)(χ2=162.104, P <0.01)。不同地区中以哇尓依乡人群棘球蚴病检出率最高,为10.9%(349/3 218)(χ2=881.983, P <0.01)。2017、 2018年针对不同职业人群分别完成问卷调查431份和449份,人群棘球蚴病防治知识知晓率分别为84.5%(364/431)和94.5%(426/449)。结论久治县人群棘球蚴病检出率较高,2018年人群棘球蚴病防治知识知晓率较2017年有所提高。Objective To investigate the prevalence and knowledge awareness of echinococcosis in Jiuzhi County, Qinghai Province during 2017 - 2018. Methods Residents above 2 years of age in seven townships(town)in Jiuzhi County were selected with a cluster random sampling method during 2017 - 2018 and subjected to B-ultrasound examination to determine the prevalence of echinococcosis in the residents. A field questionnaire regarding knowledge of echinococcosis prevention and control was performed randomly among groups with different occupations.Results A total of 25 238 people in Jiuzhi County received B-ultrasound examination, 798 of them were diagnosed with echinococcosis, showing a prevalence rate of 3.2%(798/25 238). Of the diagnosed cases, 245 were cystic echinococcosis(30.7%), 549 with alveolar echinococcosis(68.8%), and 4 mixed type(0.5%). The prevalence was higher in females(4.0%, 498/12 327) than males(2.3%, 300/12 911)( χ2= 60.668, P < 0.01). The prevalence of echinococcosis increased with age, and was highest in the age group 50-60(8.0%, 141/1 756)( χ2= 439.082, P <0.01). The prevalence was highest in the illiterate group(20.7%, 693/3 356)( χ2= 3 871.087, P < 0.01) among all groups of educational levels. The prevalence in the nomadic population(4.0%, 743/18 561) was higher than that in the settled population(0.8%, 55/6 677)(χ2= 162.104, P < 0.01). The prevalence of echinococcosis was highest in Waeryi township(10.9%, 349/3 218)(χ2= 881.983, P < 0.01). In 2017 and 2018, 431 and 449 questionnaires were completed in the residents with different occupations, and the awareness rates of echinococcosis were 84.5%(364/431)and 94.5%(426/449), respectively. Conclusion High prevalence of echinococcosis was found in Jiuzhi County. The rate of awareness on echinococcosis control in 2018 was higher than that in 2017.

关 键 词：棘球蚴病 久治县 人群 调查研究 

分 类 号：R532.32[医药卫生—内科学]