论文部分内容阅读
目的 评价晚期血吸虫病对患者体能和劳动力的影响程度。方法 选取安徽省宿松县 2个乡 40 -70岁无其它严重慢性疾病的血吸虫病患者 48例 ,在非流行区相对应年龄、性别人群随机抽取健康对照者 5 6名 ,进行问卷调查、体格检查、血清学检查 ;并用 B超检查肝实质损害情况 ,以台阶试验进行体能测试。结果 病例组 48人和对照组 5 6人的生活、劳动、社会经济和居住环境因素差异均无显著性。病例组的平均身高 (15 6.2 9cm )和体重 (5 0 .72 kg)均显著低于对照组 (分别为 15 9.41cm和 5 3 .92 kg,均 P<0 .0 5 ) ;病例组劳动力有中等下降或完全丧失的 13例 (2 8.3 % ) ;而对照组有中等下降的 7例 (12 .7% ) ,无完全丧失劳动能力者 (P<0 .0 1)。过去 1年中病例组因病不能工作平均 4.11d,对照组为 0 .86d(P<0 .0 1) ;病例组出现腹痛、腹泻和乏力等症状与对照组差异均有显著性 (P<0 .0 5 ) ;病例组肝实质损害 级者 2 1例 (占 43 .75 % ) , 级者 8例 (占 16.67% ) ,对照组 级者 7例 (占 12 .73 % ,P<0 .0 1) ;病例组平均血红蛋白含量 (111.0 6g/L )、握力 (3 0 3 .83 N)和台阶指数(61.0 9)与对照组 (分别为 12 2 .2 7g/L、3 44.2 0 N、71.84)的差异也有非常显著性 (均 P<0 .0 1)。病例组和对照组的体能平均相差 15
Objective To evaluate the impact of advanced schistosomiasis on physical and labor performance of patients. Methods Forty-eight schistosomiasis patients aged 40-70 years old without any other serious chronic diseases in two townships of Susong County, Anhui Province were selected. Fifty-six healthy controls were randomly selected from the corresponding age and sex populations in non-endemic areas for questionnaire survey. Examination, serological examination; and B-ultrasound examination of liver parenchymal damage to the bench test physical fitness test. Results There were no significant differences in the factors of living, labor, social economy and living environment among 48 cases in the case group and 56 cases in the control group. The mean height (15 6.2 9 cm) and body weight (50.72 kg) in the case group were significantly lower than those in the control group (15 9.41 cm and 53.92 kg, respectively, P 0.05). Case group labor force There were 13 cases (23.3%) with moderate decrease or complete loss; while there were 7 cases (12.7%) with moderate decrease in the control group, and those without complete loss of ability to work (P <0.01). In the past year, the cases were unable to work due to illness on average 4.11 days, while the control group was 0.86 days (P <0.01). The symptoms of abdominal pain, diarrhea and fatigue in the case group were significantly different from those in the control group (P < 0.05). In the case group, 21 cases (43.75%) had hepatic parenchyma lesions, 8 cases (16.67%) had grade, and 7 cases (12.73%, P <0) .0 1). The mean hemoglobin content (111.0 6g / L), grip strength (3 0 3 .83 N) and step index (61.0 9) in the case group were significantly lower than those in the control group (12.227g / L, N, 71.84) were also significantly different (all P <0.01). There was a 15% difference in physical fitness between the case and control groups