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目的了解新疆阿克陶县6~12岁儿童棘球蚴病的流行现状,为制定防控策略提供依据。方法采用分层抽样法调查阿克陶县牧业区奥依塔克镇、布伦口乡及农业区阿克陶镇、皮拉力乡的儿童,用ELISA法检测儿童棘球蚴病血清Ig G抗体。结果 2012年8月─2013年9月共调查6~12岁儿童1 959人,棘球蚴病血清Ig G抗体阳性率为2.91%;农业区儿童阳性率(3.80%)高于牧业区(1.98%),差异有统计学意义(χ2=5.73,P<0.05);男童(3.05%)和女童(2.77%)阳性率差异无统计学意义(χ2=0.14,P>0.05);8岁~组儿童阳性率最高为4.60%;维吾尔族儿童阳性率3.73%、占64.91%,柯尔克孜族为2.07%、占35.09%,两者差异有统计学意义(χ2=4.72,P<0.05)。结论新疆阿克陶县6~12岁儿童棘球蚴病血清抗体阳性率仍处于相对较高的感染水平,尤其是维吾尔族儿童阳性率及所占比例较高,应加强对儿童棘球蚴病防治知识的宣传和教育力度,并制定相应的防控措施减少棘球蚴病的发病。
Objective To understand the prevalence status of hydatid disease in children aged 6 ~ 12 years old in Aktau county, Xinjiang, and to provide basis for making prevention and control strategies. Methods Stratified sampling method was used to investigate the children of Oytak town, Burenkou town, Aktau town and Pilali town of Aktau county. ELISA was used to detect IgE antibody. Results A total of 1 959 children aged 6-12 years were enrolled from August 2012 to September 2013. The positive rate of IgG antibody in echinococcosis was 2.91%. The positive rate of children in the agricultural area was 3.80% The difference was statistically significant (χ2 = 5.73, P <0.05). There was no significant difference in the positive rates of boys (3.05%) and girls (2.77% The positive rate of children in ~ group was 4.60%. The positive rate of Uyghur children was 3.73%, accounting for 64.91%. The Kirgiz population was 2.07%, accounting for 35.09%. The difference was statistically significant (χ2 = 4.72, P <0.05). Conclusions The positive rate of serum antibody to hydatid disease in children aged 6 ~ 12 years old in Aktau county of Xinjiang is still relatively high, especially in Uygur children, the positive rate and the proportion of positive rate should be strengthened. In children with hydatid disease Prevention and treatment of knowledge advocacy and education, and develop appropriate control measures to reduce the incidence of hydatid disease.