广西桂北少数民族地区2017年华支睾吸虫感染调查
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摘要
目的了解桂北少数民族地区华支睾吸虫的人群感染现状,为制定有效的防治对策提供科学依据。方法选择龙胜作为调查县,按地理方位分片区选择5个调查点,每个调查点采集200个3周岁以上常住居民的粪便样本,采用改良加藤厚涂片法检测华支睾吸虫虫卵并计数,同时对被调查者进行问卷调查。结果华支睾吸虫感染率57.99%(606/1 045),其中72.94%的感染者为轻度感染。各调查点中瓢里镇的感染率最高,为80.09%(161/201),差异有统计学意义(P<0.01);瓢里镇的中、重度感染占42.86%。男、女性的感染率分别为64.38%(320/479)、52.18%(286/548),差异有统计学意义(P<0.01);45～<60岁年龄组人群感染率最高,为72.96%(251/344);壮族人群感染率最高为75.32%(235/312),较其他民族高,差异有统计学意义(P<0.01);初中文化水平人群感染率最高,为72.50%(261/360),以干部职工感染率最高,为74.04%(77/104),差异有统计学意义(P<0.01)。结论华支睾吸虫感染已成为当地的重大公共卫生问题,应引起政府高度重视,积极采取防治措施。
Objective To understand and analyse the current status of Clonorchis sinensis(C. sinensis) infections in the minority area of northern Guangxi Province, and provide scientific basis for formulating the prevention and control measures for Clonorchiasis siensis. Methods Longsheng was chosen as the investigation county, in which five survey sites were selected according to geographical orientation. Fecal samples were collected from 200 subjects with over 3 years old in every investigation point, and C. sinensis eggs were detected by modified Kato-Katz thick smear method. At the same time,questionnaires were conducted among the respondents. Results The C. sinensis infection rate was 57.99%(606/1 045), of which 72.94% was mild. The highest infection rate was found in Panli Town(P< 0.001), which was 80.09%(161/201), and42.86% were moderate to severe infection. The C. sinensis infection rate in males was 64.38%(320/479)significantly higher than that in females [52.18%(286/548)](P< 0.001). Among different age groups, the infection rate in 45-<60 group was72.96%(251/344)that higher than others(P< 0.001). Zhuang minority people [75.32%(235/312)] were slightly higher than that in other groups(P< 0.001). The infection rate of junior middle school education level was the highest(P< 0.001), 72.50%(261/360), and which of cadres and staff was the highest(P< 0.001), 74.04%(77/104). Conclusion The C. sinensis infection has become a serious public health problem in the region. The local government should attach great importance to it and take active preventive measures for it.
Objective To understand and analyse the current status of Clonorchis sinensis(C. sinensis) infections in the minority area of northern Guangxi Province, and provide scientific basis for formulating the prevention and control measures for Clonorchiasis siensis. Methods Longsheng was chosen as the investigation county, in which five survey sites were selected according to geographical orientation. Fecal samples were collected from 200 subjects with over 3 years old in every investigation point, and C. sinensis eggs were detected by modified Kato-Katz thick smear method. At the same time,questionnaires were conducted among the respondents. Results The C. sinensis infection rate was 57.99%(606/1 045), of which 72.94% was mild. The highest infection rate was found in Panli Town(P< 0.001), which was 80.09%(161/201), and42.86% were moderate to severe infection. The C. sinensis infection rate in males was 64.38%(320/479)significantly higher than that in females [52.18%(286/548)](P< 0.001). Among different age groups, the infection rate in 45-<60 group was72.96%(251/344)that higher than others(P< 0.001). Zhuang minority people [75.32%(235/312)] were slightly higher than that in other groups(P< 0.001). The infection rate of junior middle school education level was the highest(P< 0.001), 72.50%(261/360), and which of cadres and staff was the highest(P< 0.001), 74.04%(77/104). Conclusion The C. sinensis infection has become a serious public health problem in the region. The local government should attach great importance to it and take active preventive measures for it.
引文
[1]蒋智华,杨益超,万孝玲,等.广西华支睾吸虫病地理和流域分布特点的初步分析[J].中国热带医学,2015,15(9):1057-1061.
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[3]LUN Z R,GASSER R B,LAI D H,et al.Clonorchiasis:a key foodborne zoonosis in China[J].The Lancet Infectious Diseases,2005,5(1):31-41.
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[5]荣光雄,吴进儒,杨智,等.龙胜各族自治县华支睾吸虫病流行病学调查[J].中国公共卫生管理,2011,27(4):392-393.
[6]裴福全,张贤昌,张启明,等.广东省2010年人体重点寄生虫感染现状调查和分析[J].华南预防医学,2016,57(1):37-41.
[7]万孝玲,张伟尉,蒋智华,等.广西2015年人体重点寄生虫感染现状调查[J].中国热带医学,2019,19(1):19-22,30.
[8]周晓农.2015年全国人体重点寄生虫病现状调查报告[M].1版.北京:人民卫生出版社,2018:73-84.
[9]张鸿满,黎学铭,蓝春庚,等.广西人体华支睾吸虫感染现状调查分析[J].中国寄生虫病防治杂志,2005,18(5):348-351.
[10]舒宏,江宗蔚,黄文成,等.2016-2018年广西华支睾吸虫感染状况及流行病学特征分析[J].中国实验诊断学,2018,22(12):2127-2128.
[11]方悦怡,陈颖丹,黎学铭,等.我国华支睾吸虫病流行区感染现状调查[J].中国寄生虫学与寄生虫病杂志,2008,26(2):99-103,109.
[12]徐梦,黄文,欧深,等.广西藤县人群华支睾吸虫感染调查及其分子鉴定[J].中国寄生虫学与寄生虫病杂志,2018,36(6):1-5.2019-03-21
[2]黎学铭,欧阳颐,杨益超,等.广西居民饮食习惯与食源性寄生虫病的分布调查[J].中国寄生虫学与寄生虫病杂志,2009,27(2):151-155.
[3]LUN Z R,GASSER R B,LAI D H,et al.Clonorchiasis:a key foodborne zoonosis in China[J].The Lancet Infectious Diseases,2005,5(1):31-41.
[4]区惠梅,区志明,梁洁玲,等.4096例华支睾吸虫感染病例分析报告[J].中国病原生物学杂志,2006,1(3):197-197.
[5]荣光雄,吴进儒,杨智,等.龙胜各族自治县华支睾吸虫病流行病学调查[J].中国公共卫生管理,2011,27(4):392-393.
[6]裴福全,张贤昌,张启明,等.广东省2010年人体重点寄生虫感染现状调查和分析[J].华南预防医学,2016,57(1):37-41.
[7]万孝玲,张伟尉,蒋智华,等.广西2015年人体重点寄生虫感染现状调查[J].中国热带医学,2019,19(1):19-22,30.
[8]周晓农.2015年全国人体重点寄生虫病现状调查报告[M].1版.北京:人民卫生出版社,2018:73-84.
[9]张鸿满,黎学铭,蓝春庚,等.广西人体华支睾吸虫感染现状调查分析[J].中国寄生虫病防治杂志,2005,18(5):348-351.
[10]舒宏,江宗蔚,黄文成,等.2016-2018年广西华支睾吸虫感染状况及流行病学特征分析[J].中国实验诊断学,2018,22(12):2127-2128.
[11]方悦怡,陈颖丹,黎学铭,等.我国华支睾吸虫病流行区感染现状调查[J].中国寄生虫学与寄生虫病杂志,2008,26(2):99-103,109.
[12]徐梦,黄文,欧深,等.广西藤县人群华支睾吸虫感染调查及其分子鉴定[J].中国寄生虫学与寄生虫病杂志,2018,36(6):1-5.2019-03-21