广西来宾市2017—2023年101例粪类圆线虫感染的诊断和分析  

Diagnosis and analysis of 101 cases of Strongyloides stercorali infection in Laibin City,Guangxi from 2017 to 2023

作　　者：韦新艳 陆燕 韦凤妮 阮贵香 潘菊花 吕佳音 石云良 刘登宇 WEI Xinyan;LU Yan;WEI Fengni;RUAN Guixiang;PAN Juhua;LÜJiayin;SHI Yunliang;LIU Dengyu(Department of Clinical Laboratory,People's Hospital of Xingbin District,Laibin,Guangxi 546100,China;Department of Parasitology,School of Basic Medical Science,Guangxi Medical University,Nanning,Guangxi,530028,China)

机构地区：[1]来宾市兴宾区人民医院,广西来宾546100 [2]广西医科大学基础医学院寄生虫学教研室,广西南宁530028

出　　处：《中国热带医学》2024年第10期1287-1289,共3页China Tropical Medicine

基　　金：国家自然科学基金(No.82160394)。

摘　　要：目的分析来宾市2017—2023年诊断的101例粪类圆线虫感染患者的临床特征,为粪类圆线虫病防治提供资料。方法收集来宾市兴宾区人民医院2017—2023年确诊感染粪类圆线虫101例患者的临床资料,对患者的年龄、性别、职业、受教育程度和临床症状及贫血情况等进行统计分析。结果101例粪类圆线虫感染病例中男性79例,女性22例,男女性比为3.6∶1。患者大部分来自农村地区,以务农为主,且文化程度较低,年龄(65.32±12.48)岁,>60岁老年患者67例。首发有消化道腹痛、黑便和血性腹泻症状分别有16、12和6例,合并肺部感染、高血压、痛风和风湿性关节炎、糖尿病和恶性肿瘤分别29、25、18、13和12例。实验室检查显示,出现贫血、大便隐血阳性和嗜酸性粒细胞增高分别59、63和51例。结论来宾市兴宾区的粪类圆线虫感染患者多发于文化程度低的农村老年人,男性多于女性。粪类圆线虫患者中仅部分出现腹痛、腹泻等肠道症状,但大部分患者合并有肺部感染、高血压、痛风性、风湿性关节炎、糖尿病、恶性肿瘤等疾病,合并感染有加快和加剧疾病进程的风险,应加强当地粪类圆线虫的防控。Objective To analyze the clinical characteristics of 101 patients with Strongyloides stercoralis infection in Xingbin District,Laibin City from 2017 to 2023,providing data for the prevention and control of strongyloidiasis.Methods Clinical data of 101 patients diagnosed with Strongyloides stercoralis infection at Xingbin District People's Hospital from 2017 to 2023 were collected.Statistical analysis was performed on patients'symptoms,anemia status,age,gender,occupation,education level,and other relevant factors.Results Among the 101 cases of Strongyloides stercoralis infection,there were 79 males and 22 females,with a male-to-female ratio of 3.6∶1.The majority of patients were from rural areas,primarily engaged in agriculture,and had a lower level of education.The average age was(65.32±12.48)years,with 67 elderly patients over 60 years old(accounting for 66.64%).Only about one-third of the patients showed gastrointestinal symptoms,but most patients had other comorbid conditions such as lung infection(28.7%),hypertension(24.6%),gouty and rheumatoid arthritis(18%),diabetes(13%),and malignant tumors(12%).Laboratory tests revealed that most patients(>40%)had anemia,positive fecal occult blood,and eosinophilia.Conclusions Strongyloides stercoralis infection in Xingbin District,Laibin City,predominantly affects elderly individuals with low levels of education from rural areas,with more males than females.Only some patients present with gastrointestinal symptoms such as abdominal pain and diarrhea,but most exhibit comorbid conditions including pulmonary infection,hypertension,gout,rheumatoid arthritis,diabetes,malignant tumors,etc.Coinfection poses a risk of accelerating and exacerbating disease progression,underscoring the need to strengthen the prevention and control of local Strongyloides stercoralis infection.

关 键 词：粪类圆线虫 贫血 消化道症状 农村地区 

分 类 号：R532.19[医药卫生—内科学]