新都地区常驻人口寄生虫感染结果分析
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摘要
目的分析该地区常驻人口寄生虫感染的地域特点,为本地区肠道寄生虫感染防治提供科学依据。方法回顾性分析2017年6月～2018年6月新都区常驻人口于我院进行大便常规检查的22 388例结果数据。结果 22 388例大便常规检查数据中,检出肠道蠕虫3种。其中钩虫感染16例出现不同程度的血红蛋白下降,10例嗜酸性粒细胞百分比及绝对值明显上升,6例出现大便隐血阳性。肠道寄生虫总感染率为0.125%(28/22 388),主要以钩虫(24/28)感染为主。男性和女性肠道寄生虫感染率分别为0.074%(8/10 853)和0.173%(20/11 535),两者比较,差异有统计学意义(χ2=4.447,P<0.05)。各职业肠道寄生虫感染率由低到高依次为学生、学龄前、其他和农民,感染率分别为0.000%、0.032%(2/6281)、0.141%(10/7089)、0.201%(16/7954),各职业肠道寄生虫感染率比较,差异有统计学意义(χ2=9.534,P<0.05)。35～65岁人群肠道寄生虫感染率较高,为0.220%(16/7261),>65岁人群感染率为0.170%(10/5866),<7岁人群感染率为0.032%(2/6281),其他年龄组人群无人感染,各年龄组间感染率比较,差异有统计学意义(χ2=14.348,P<0.01)。结论新都区常驻人口肠道寄生虫感染以钩虫为主,虽然感染率偏低,但不能忽视漏检因素,仍需采取有效科学的措施对高危人群加以宣传防治。
Objective To analyze the regional characteristics of parasitic infection of resident population in this area,and provide scientific basis for prevention and treatment of intestinal parasitic infection in this area.Methods Retrospective analysis from June 2017 to June 2018,the Xindu district resident population in our hospital for stool routine examination of 22 388 cases results.Results In 22 388 cases of routine stool examination,three kinds of intestinal worms were detected.Among them,16 cases showed different degree of hemoglobin decline,10 cases of eosinophilgranulocyte percentage and absolute value increased significantly,and 6 cases of fecal occult blood positive.The total infection rate of intestinal parasites was 0.125%(28/22 388),mainly by the infection of the worm(24/28).The infection rates of intestinal parasites in males and females were 0.074%(8/10 853) and 0.173%(20/11 535),and the difference was statistically significant(χ2=4.447,P<0.05).The infection rate of each occupational intestinal parasite was 0.000%,0.032%(2/6281),0.141%(10/7089),and 0.201%(16/7954),the infection rates of intestinal parasites in different occupations were compared,and the difference was statistically significant(χ2=9.534,P<0.05).The infection rate of intestinal parasites was higher in the 35-65 year old population,which was 0.220%(16/7261),the infection rate was 0.170%(10/5866) more than 65-year-old population,and the infection rate was 0.032%(2/6281) under the age of 7,no other infections in other age groups,the difference in infection between the age groups was statistically significant(χ2=14.348,P <0.01).Conclusion The infection rate of intestinal parasite inthe resident population of Xindu district is mainly hookworm.Although the infection rate is relatively low,the factors of missed detection cannot be ignored.Effective scientific measures are still needed to publicize and prevent high-risk groups.
Objective To analyze the regional characteristics of parasitic infection of resident population in this area,and provide scientific basis for prevention and treatment of intestinal parasitic infection in this area.Methods Retrospective analysis from June 2017 to June 2018,the Xindu district resident population in our hospital for stool routine examination of 22 388 cases results.Results In 22 388 cases of routine stool examination,three kinds of intestinal worms were detected.Among them,16 cases showed different degree of hemoglobin decline,10 cases of eosinophilgranulocyte percentage and absolute value increased significantly,and 6 cases of fecal occult blood positive.The total infection rate of intestinal parasites was 0.125%(28/22 388),mainly by the infection of the worm(24/28).The infection rates of intestinal parasites in males and females were 0.074%(8/10 853) and 0.173%(20/11 535),and the difference was statistically significant(χ2=4.447,P<0.05).The infection rate of each occupational intestinal parasite was 0.000%,0.032%(2/6281),0.141%(10/7089),and 0.201%(16/7954),the infection rates of intestinal parasites in different occupations were compared,and the difference was statistically significant(χ2=9.534,P<0.05).The infection rate of intestinal parasites was higher in the 35-65 year old population,which was 0.220%(16/7261),the infection rate was 0.170%(10/5866) more than 65-year-old population,and the infection rate was 0.032%(2/6281) under the age of 7,no other infections in other age groups,the difference in infection between the age groups was statistically significant(χ2=14.348,P <0.01).Conclusion The infection rate of intestinal parasite inthe resident population of Xindu district is mainly hookworm.Although the infection rate is relatively low,the factors of missed detection cannot be ignored.Effective scientific measures are still needed to publicize and prevent high-risk groups.
引文
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[4]杨丽群,李荣,段晓云,等.外周血嗜酸性粒细胞反应性在不同寄生虫病中的临床特点[J].临床医学研究与实践,2018,3(4):3-5.
[5]刘晓芳,焦洋,范洪伟,等.寄生虫感染致外周血嗜酸性粒细胞增多的临床特点[J].协和医学杂志,2016,7(6):432-435.
[6]杨帆,龙尔平,姬鹏宇,等.TNF-α在寄生虫感染中的作用[J].热带医学杂志,2014,14(8):1116-1120.
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[9]杨成运,鲁德领,张雅兰,等.河南省燕山-太行山生态区2015年人体肠道寄生虫感染现状调查[J].中国热带医学,2018,18(1):84-88.
[10]陶洪,李彦忠,周晓梅,等.云南省独龙族小学生肠道寄生虫感染调查[J].中国热带医学,2016,16(10):1021-1023.
[11]吴小玲,胡乐,欧飞昌.高州市2011~2014年土源性线虫病流行状况调查[J].中国热带医学,2015,15(6):763-764,767.
[12]熊受家,刘镕,钟沁萍,等.武汉市江夏区山坡街农村居民肠道寄生虫感染及其危险因素调查[J].中国血吸虫病防治杂志,2018,30(5):1-5.
[13]唐磊,邢智锋,葛涛,等.2015年黑龙江省人体重点寄生虫感染现状调查[J].中国寄生虫学与寄生虫病杂志,2018,36(4):1-5.
[14]袁爽,邢智锋,葛涛,等.黑龙江省2016年重点食源性寄生虫病和土源性线虫病调查分析[J].中国公共卫生管理,2018,34(3):423-425.
[15]龚希,王光西.四川省人体寄生虫病流行特征和防治经验[J].中国卫生产业,2018,15(7):189-190.
[16]王强,张雪强,路瑶,等.寄生虫病防治工作信息化建设的SWOT分析[J].中国血吸虫病防治杂志,2018,30(5)1-3.
[17]朱慧慧,周长海,陈颖丹,等.全国人体重点寄生虫病现状调查SWOT分析[J].中国寄生虫学与寄生虫病杂志,2015,33(5):377-381.
[18]朱慧慧,钱门宝,周长海,等.应用德尔菲法建立寄生虫病健康教育作品评价体系[J].中国血吸虫病防治杂志,2018,30(3):307-311,328.
[19]石锋,杨益,汪俊云,等.快速检测美洲钩虫特异抗体胶体金免疫层析试条方法的建立与效果评价[J].中国寄生虫学与寄生虫病杂志,2018,36(2):119-123.
[20]邹洋,李晶晶,贾永根,等.寄生虫病分子生物学诊断进展[J].热带医学杂志,2018,18(6):830-834.
[2]严俊,胡桃,雷正龙.全国重点寄生虫病的防控形势与挑战[J].中国寄生虫学与寄生虫病杂志,2015,33(6):412-417.
[3]龚希,王光西.四川省人体寄生虫病流行特征和防治经验[J].中国卫生产业,2018,15(7):189-190.
[4]杨丽群,李荣,段晓云,等.外周血嗜酸性粒细胞反应性在不同寄生虫病中的临床特点[J].临床医学研究与实践,2018,3(4):3-5.
[5]刘晓芳,焦洋,范洪伟,等.寄生虫感染致外周血嗜酸性粒细胞增多的临床特点[J].协和医学杂志,2016,7(6):432-435.
[6]杨帆,龙尔平,姬鹏宇,等.TNF-α在寄生虫感染中的作用[J].热带医学杂志,2014,14(8):1116-1120.
[7]Gomes RS,Silva MVT,Dos Santos JC,et al.Human interleukin-32γplays a protective role in an experimental model of visceral leishmaniasis in mice[J].Infect Immun,2018,86(5):796-817.
[8]Banerjee A,Bhattacharya P,Dagur PK,et al.Live Attenuated Leishmania donovani centrin gene-deleted parasites induce IL-23-dependent IL-17-protective immune response against visceral leishmaniasis in a murine model[J].J Immunol,2018,200(1):163-176.
[9]杨成运,鲁德领,张雅兰,等.河南省燕山-太行山生态区2015年人体肠道寄生虫感染现状调查[J].中国热带医学,2018,18(1):84-88.
[10]陶洪,李彦忠,周晓梅,等.云南省独龙族小学生肠道寄生虫感染调查[J].中国热带医学,2016,16(10):1021-1023.
[11]吴小玲,胡乐,欧飞昌.高州市2011~2014年土源性线虫病流行状况调查[J].中国热带医学,2015,15(6):763-764,767.
[12]熊受家,刘镕,钟沁萍,等.武汉市江夏区山坡街农村居民肠道寄生虫感染及其危险因素调查[J].中国血吸虫病防治杂志,2018,30(5):1-5.
[13]唐磊,邢智锋,葛涛,等.2015年黑龙江省人体重点寄生虫感染现状调查[J].中国寄生虫学与寄生虫病杂志,2018,36(4):1-5.
[14]袁爽,邢智锋,葛涛,等.黑龙江省2016年重点食源性寄生虫病和土源性线虫病调查分析[J].中国公共卫生管理,2018,34(3):423-425.
[15]龚希,王光西.四川省人体寄生虫病流行特征和防治经验[J].中国卫生产业,2018,15(7):189-190.
[16]王强,张雪强,路瑶,等.寄生虫病防治工作信息化建设的SWOT分析[J].中国血吸虫病防治杂志,2018,30(5)1-3.
[17]朱慧慧,周长海,陈颖丹,等.全国人体重点寄生虫病现状调查SWOT分析[J].中国寄生虫学与寄生虫病杂志,2015,33(5):377-381.
[18]朱慧慧,钱门宝,周长海,等.应用德尔菲法建立寄生虫病健康教育作品评价体系[J].中国血吸虫病防治杂志,2018,30(3):307-311,328.
[19]石锋,杨益,汪俊云,等.快速检测美洲钩虫特异抗体胶体金免疫层析试条方法的建立与效果评价[J].中国寄生虫学与寄生虫病杂志,2018,36(2):119-123.
[20]邹洋,李晶晶,贾永根,等.寄生虫病分子生物学诊断进展[J].热带医学杂志,2018,18(6):830-834.