开展消除麻风运动后对当地新发现病人状况的影响  

Impact of leprosy elimination campaigns on case finding

作　　者：沈建平[1] 李文忠[1] 余美文[1] 杨军 周龙朝 王荣茂[3] 胡鹭芳[3] 牟鸿江 叶福昌 何新国 潘良德 

机构地区：[1]中国医学科学院皮肤病研究所,南京210042 [2]云南省皮肤病研究所 [3]四川省皮肤病研究所 [4]贵州省皮肤病研究所 [5]湖南省皮肤病研究所

出　　处：《中国麻风皮肤病杂志》2003年第1期15-18,共4页China Journal of Leprosy and Skin Diseases

摘　　要：目的 :　分析开展消除麻风运动后对当地新发现麻风病人状况的影响。方法 :　通过比较麻风高流行县 (市 )开展消除麻风运动前、中和后一年的麻风新发现病人资料 ,分析新发现麻风病人各个方面情况。结果 :　发现所有 8个县 (市 )在开展消除麻风运动当年发现病人数均为最高。在开展消除麻风运动后一年 ,防治力量强的县 (市 )发现病人数维持在开展消除麻风运动之前一年的水平 ,防治力量弱的县 (市 )发现病人数则比开展运动前一年有减少。在开展消除运动期间发现的病人居住地离县麻风专业机构的距离最远 ,平均为 62 .8公里 /人。开展消除运动期间病人疾病延迟期为最长 ,平均为42 .9月 ,消除运动后一年发现的病人疾病平均延迟期缩短至 2 6.5月。结论 :　开展消除麻风运动后在短期内不会对当地的新发现病人数产生很大的影响 ,但其促进了部分麻风流行病学指标好转 。Objective: To analyze the impact of leprosy elimination campaigns (LEC) on case finding. Methods: The data from newly detected leprosy cases in leprosy high endemic areas one year before, during and after LEC were analyzed.Results: The results showed that the number of leprosy cases newly detected during the year of LEC was significantly higher. The number of newly detected cases after LEC was similar to the number detected before LEC in counties with intensive case finding activities. However the number of newly detected cases after LEC significantly decreased in counties without active case finding activities. The average distance from patient's residence to the county leprosy service station for the cases detected during LEC was 62.8 kilometers which was farther than the distance for other leprosy cases. The delay duration in newly diagnosed leprosy cases was improved after LEC. Conclusion : LEC dose not have notable impact on case finding within a short time, but it may facilitate early diagnosis, and thus, promote the leprosy control in local areas.

关 键 词：消除麻风运动 病例发现 麻风 防治 

分 类 号：R755[医药卫生—皮肤病学与性病学]