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目的:为制定大山区血吸虫病防治策略提供依据。方法:对四川省西昌市川兴村(高原平坝)和云南省巍山县中和村(高原峡谷)两个有代表性的试区进行了系统的血吸虫病流行病学调查。结果:显示两个试区不仅地理地貌不同,而且主要传染源种类、血吸虫病患者的年龄、性别分布、粪便污染水源方式、钉螺和感染性螺的分布及居民感染方式均显著不同。结论:可将高原山区概括地划分为高原平坝和高原峡谷两类流行区,建议结合环境和社会经济因素而制定针对性的防治对策。
Objective: To provide evidence for the prevention and control of schistosomiasis in the mountainous area. Methods: A systematic epidemiological investigation of schistosomiasis was conducted in two representative areas, Chuanxing Village, Xichang, Sichuan Province (Pingba Plateau) and Zhonghe Village (Plateau Canyon) in Weishan County, Yunnan Province. Results: The results showed that not only the geography and physiognomy of the two test areas were different, but also the main sources of infection, the age and sex of schistosomiasis patients, the way of water pollution from stools, the distribution of snails and infectious snails and the pattern of infection among residents. Conclusion: The plateau mountainous areas can be broadly divided into two types of endemic areas such as plateau and plateau canyon. Proposed countermeasures for prevention and treatment are formulated according to environmental and socio-economic factors.