2021-2023年广西南宁市人群华支睾吸虫感染情况分析  

Analysis on the prevalence of clonorchis sinensis infection in Nanning,Guangxi from 2021 to 2023

作　　者：卢立江 廖芳[1] 罗艳萍 黄瑛[1] 罗昌亮 LU Lijiang;LIAO Fang;LUO Yanping;HUANG Ying;LUO Cangliang(The Guangxi Zhuang Autonomous Region People′s Hospital,NANning,Guangxi 530000,China)

机构地区：[1]广西壮族自治区人民医院,广西南宁530000

出　　处：《检验医学与临床》2024年第S02期140-142,共3页Laboratory Medicine and Clinic

摘　　要：目的为了解广西壮族自治区(简称广西)南宁市人群华支睾吸虫感染情况,为当地政府制定华支睾吸虫病防控策略和措施提供科学依据。方法采用改良加藤厚涂片法(Kato-Katz法,一粪二检)检查华支睾吸虫虫卵并计数,分析该院2021-2023年就诊人群华支睾吸虫感染情况,并进行统计分析。结果2021-2023年南宁市共调查198820例,华支睾吸虫总感染率为8.01%(15935/198820),其中男111838例,阳性率11.77%;女86982例,阳性率2.99%,男性感染率显著高于女性,差异有统计学意义(P<0.001);2021-2023年广西南宁市人群感染率分别为8.05%(4325/53740)、7.90%(5459/69059)和8.09%(6151/176021),不同年度间感染率差异无统计学意义(χ^(2)=1.815,P=0.404);按≤20岁、>20~30岁、>30~40岁、>40~50岁、>50~60岁和>60岁分成6个不同年龄组,阳性率分别为0.16%、4.11%、9.00%、11.77%、11.29%和7.93%,>40~50岁岁年龄组感染率最高(11.77%,2909/24710),各年龄组感染率差异有统计学意义(χ^(2)=5169.68,P<0.001)。结论广西南宁市人群华支睾吸虫感染率高,应加强对重点人群的检查和驱虫治疗,从而有效控制华支睾吸虫感染和降低华支睾吸虫的危害。同时提高粪便虫卵检出率,对华支睾吸虫早诊断早治疗具有关键作用。Objective To understand the prevalence of clonorchis sinensis infection in Nanning and to provide a scientific basis for the local government to formulate the prevention and control strategies and measures of clonorchis sinensis infection.Methods The modified Kato-Katz method(one-fecal-two-examined)was used to examine and count the eggs of clonorchis sinensis,and to analyze the situation of clonorchis sinensis infections in the population of the hospital from 2021 to 2023,and then statistically analyze the results.Results From 2021 to 2023,a total of 198820 people were investigated in Nanning,and the total infection rate of Clonorchis sinensis was 8.01%(15935/198820),of which 111,838 were males,with a positivity rate of 11.77%and 86982 females,with a positivity rate of 2.99%,and the infection rate of males was significantly higher than that of females,with a statistically significant difference(P<0.001);in 2021 to 2023,the infection rate of Guangxi Nanning population was 8.05%(4325/53740),7.90%(5459/69059)and 8.09%(6151/176021),and the difference in the infection rate between different years was not statistically significant(χ^(2)=1.815,P=0.404).They were divided into six age groups according to≤20 years old,>20 to 30 years old,>30 to 40 years old,>40 to 50 years old,>50 to 60 years old and>60 years old,the positive rates were 0.16%,4.11%,9.00%,11.77%,11.29%and 7.93%,respectively,and the highest infection rate was found in the age group of 40 to 50 years(11.77%,2909/24710),with statistically significant differences in the infection rates between the age groups.The difference in infection rates between age groups was statistically significant(χ^(2)=5169.68,P<0.001).Conclusion The population of Nanning,Guangxi,has a high rate of infection of clonorchis sinensis,and the inspection and deworming treatment of the key populations should be strengthened,so as to effectively control the infection rate of clonorchis sinensis in Nanning Guangxi.The inspection and deworming treatment of key populations should be strengt

关 键 词：支睾吸虫 感染率 南宁市 

分 类 号：R532.23[医药卫生—内科学]