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目的对2005-2014年云南省洱源县在册和新发晚期血吸虫病(晚血)患者现状进行分析,为晚血患者进行救助治疗的合理、长态化提供科学依据,以提高晚血患者生存质量,延长寿命。方法在2005年、2011年晚血调查的基础上对2014年底现存活晚血患者进行分析,对比观察前后的防治效果。结果 1992-2004年共发生晚血116人,洱源县晚期血吸虫病患病率为0.67‰(116/172 000),2004-2014年发生38人,晚期血吸虫病患病率为0.22‰(38/172 000),下降67.16%,结论晚血患者减少,现存晚血患者大多是老病人,单纯性脾肿大脾切除效果较好,夹杂症乙肝脾切除效果差,新发生晚血都是在外务工多年的漏治人员和65岁以上未化疗者。
Objective To analyze the current situation of registered and newly diagnosed schistosomiasis (late blood) patients in Eryuan County, Yunnan Province from 2005 to 2014, and provide a scientific basis for the reasonable and long-term state of salvage therapy in patients with late blood to improve the survival of late-blooded patients Quality, extend life expectancy. Methods Based on the Late Blood Survey in 2005 and 2011, the patients with late-life blood that survived by the end of 2014 were analyzed and compared before and after the prevention and treatment. Results A total of 116 late blood donors were reported in 1992-2004. The prevalence of advanced schistosomiasis in Eryuan County was 0.67 ‰ (116/172 000), 38 in 2004-2014, and 0.22 ‰ in advanced schistosomiasis / 172 000), a decrease of 67.16%, the conclusion of patients with late blood decreased, the majority of patients with existing late blood are old patients, splenomegaly simple splenectomy is better, the effect of hepatitis B and splenectomy is poor, new blood is late Missing workers for many years and non-chemotherapy over 65 years of age.