2022—2023年宜昌市住院患者寄生虫感染调查及感染患者血常规对比分析  

INVESTIGATION OF PARASITIC INFECTIONS IN HOSPITALIZED PATIENTS IN YICHANG CITY FROM 2022 TO 2023 AND COMPARATIVE ANALYSIS OF ROUTINE BLOOD TESTS OF PATIENTS INFECTED WITH PARASITES

作　　者：张庆勇[1] 罗宇成 ZHANG Qing-yong;LUO Yu-cheng(Department of Clinical Laboratory,Yichang Central People′s Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 433003,China)

机构地区：[1]三峡大学第一临床医学院(宜昌市中心人民医院)检验科,湖北宜昌443003

出　　处：《寄生虫与医学昆虫学报》2025年第1期10-15,共6页Acta Parasitologica et Medica Entomologica Sinica

摘　　要：目的研究宜昌市住院患者感染寄生虫的现状,对比分析感染寄生虫患者血常规检查结果。方法采用F280全自动粪便分析仪,对宜昌市中心人民医院住院患者50256份粪便标本进行检测,全自动粪便分析仪根据其自身软件分析,拍照记录各寄生虫虫卵,检验人员进一步审核确认寄生虫种类。以50名体检健康者作为对照组,对比分析感染寄生虫患者血常规结果变化。结果宜昌市住院患者寄生虫感染率为2.25‰,其中,感染钩虫占60.2%,蛔虫占15.0%,肝吸虫占8.8%,其次分别为鞭虫、粪类圆线虫、蛲虫等。男性和女性感染率分别为2.20‰和2.31‰,两者差异无统计学意义;年龄分布以61岁及以上年龄组感染率最高。血常规结果显示:与对照组比较,寄生虫组白细胞计数无明显变化,嗜酸性粒细胞百分比增高,红细胞计数,血红蛋白以及血细胞压积降低。结论宜昌市住院患者寄生虫感染者多见于中老年,其中,钩虫感染率最高,其次为蛔虫、肝吸虫等,寄生虫感染导致患者嗜酸性粒细胞增高以及出现贫血现象。Objective To study the current status of parasitic infections in hospitalized patients in Yichang City,we compared and analyzed changes in routine blood tests for parasitic infections.Methods A total of 50256 fecal samples from hospitalized patients at Yichang Central People′s Hospital were tested using the F280 fully automatic fecal analyzer that analyzed and recorded parasite eggs based on its own internal software,and the inspectors further reviewed and confirmed which types of parasites were causing infections.Using 50 healthy individuals as a control group,we compared and analyzed the changes in routine blood results from patients infected with parasites.Results The parasitic infection rate of hospitalized patients in Yichang City was 2.25%,with hookworms accounting for 60.2%,roundworms accounting for 15.0%,and liver flukes accounting for 8.8%.Other identified parasites included whipworms,fecal roundworms,pinworms,and others.The infection rates of males and females were 2.20%and 2.31%,respectively,with no statistically significant.The highest infection rate was observed in the over-61 age group.Routine blood tests revealed that compared to the control group,there was no significant change in white blood cell count in the parasitic infection group,but the percentage of eosinophils increased,hemoglobin,and hematocrit decreased.Conclusions Parasitic infections among hospitalized patients in Yichang City are more common in middle-aged and elderly populations.Among these,the hookworm infection rate was the highest,and this was followed by roundworms and liver flukes.Parasitic infection leads to an increase in eosinophil count and anemia in patients.

关 键 词：宜昌市 寄生虫 粪便 血常规 

分 类 号：R381[医药卫生—医学寄生虫学]