甘肃省2005—2023年棘球蚴病流行病学特征  

Epidemiological characteristics of echinococcosis cases in Gansu Province from 2005 to 2023

作　　者：张小娟 杨国兵[1] 冯宇[1] 梁虹[1] 张海亮 何爱伟 ZHANG Xiaojuan;YANG Guobing;FENG Yu;LIANG Hong;ZHANG Hailiang;HE Aiwei(Gansu Provincial Center for Disease Control and Prevention,Lanzhou,Gansu 730030,China)

机构地区：[1]甘肃省疾病预防控制中心,甘肃兰州730030

出　　处：《中国热带医学》2024年第9期1039-1041,1058,共4页China Tropical Medicine

基　　金：国家卫生健康委开放课题项目(No.NHCKFKT2022-07);甘肃省卫生行业科研计划项目(No.GSWSKY2017-19)。

摘　　要：目的分析甘肃省棘球蚴病变化趋势,为甘肃省综合防治棘球蚴病提供参考依据。方法收集中国疾病预防控制信息系统中2005—2023年甘肃省棘球蚴病患者信息,采用描述性流行病学方法对患病情况、三间分布、诊断等情况进行统计分析。结果2005—2023年甘肃省14个市(州)83个县(区)累计报告棘球蚴病6275例。每年均有病例报告,2011年报告672例达到最高峰(占10.71%),各年报告发病率差异有统计学意义(χ^(2)=1394.014,P<0.05)。每月均有病例报告,各月分布不均。12月份报告病例最多,2月份报告病例最少。武威市1445例、白银市1150例、庆阳市859例的报告病例数排前三位,男女性别比例为1∶1.19,职业以农民为主,共报告4693例,其次为牧民,报告723例。病例年龄2~97岁,40~<70岁报告病例数最多(4016例)。发病当年诊断为棘球蚴病占84.10%,≥2年诊断的病例占15.90%。病例报告以临床诊断为主,但报告病例均未进行影像学分型。报告单位以医院为主,其次为疾控中心。结论甘肃省棘球蚴病网报病例数从2005年开始逐渐增多,至2011年达到高峰,再逐渐下降,可能存在网报病例漏报重报现象,应加强疫情报告管理,加强流行区影像学专业人员的理论及技能培训,扩大重点地区筛查覆盖面以及重视非流行区棘球蚴病防治工作。Objective By analyzing the epidemic trends of echinococcosis cases in Gansu Province,this study aims to provide a reference for comprehensive prevention and control of echinococcosis in this region.Methods Data of echinococcosis cases reported in Gansu Province from 2005 to 2023 were collected and organized from the China Disease Prevention and Control Information System.Descriptive epidemiology methods were used for statistical analysis of disease prevalence,spatiotemporal distribution,and diagnostic information.Results From 2005 to 2023,a total of 6275 cases of echinococcosis were reported in 83 counties of 14 cities in Gansu Province.Cases were reported every year,with a peak of 672 cases in 2011,accounting for 10.71%of the total,with statistically significant differences in annual incidence rates(χ^(2)=1394.014,P<0.05).Cases were reported every month over the 19-year period,though the monthly distribution was uneven.The highest number of cases was reported in December,while the fewest were reported in February.Wuwei City reported the highest number of cases 1445 cases,followed by Baiyin City 1150 cases,Qingyang City 859 cases.The ratio of male-to-female cases was 1∶1.19.Farmers were the most affected occupational group,with 4693 cases,followed by herders with 723 cases.The age of patients 2-97 years.Most cases were reported in people aged 40-<70 years(4016 cases).Diagnosis of echinococcosis occurred in the same year of onset in 84.10%of cases,while 15.90%were diagnosed two or more years after onset.Most cases were clinically diagnosed,and no cases involved imaging classification.Hospitals were the primary reporting units,followed by the Centers for Disease Control and Prevention.Conclusions The number of cases of echinococcosis reported gradually increased online in Gansu Province has gradually increased since 2005,peaking in 2011,and subsequently declining.There may be instances of underreporting or duplicate reporting of cases submitted online;therefore,it is necessary to strengthen the management of epi

关 键 词：棘球蚴病 流行病学特征 甘肃省 

分 类 号：R181.8[医药卫生—流行病学]