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目的分析佛山市1980—2010年间肝吸虫病在人群中的感染状况及其流行特点,为制订佛山市肝吸虫病防治策略提供参考依据。方法所采用的资料来自佛山市1980—2010年间肝吸虫病防治总结,采用描述性流行病学方法对数据进行分析。结果 1980—2010年间佛山市累计检查人群959 905人次,查出肝吸虫感染者232 443例,粗感染率为24.22%,其中1989年检查人群感染率最高,为56.84%(13 506/23 761),至2000年降至历年最低,感染率为3.47%(3 665/105 623),2005年有回升趋势。全市5区均有不同程度肝吸虫感染,平均感染率从高到低依次为禅城区(42.49%,11 444/26 933)、顺德区(32.12%,168 139/523 551)、高明区(29.15%,2 041/7 001)、三水区(13.80%,27 813/201 572)、南海区(11.45%,23 006/200 848)。不同年龄组和性别间差异均有统计学意义(P<0.01或P<0.05),其中男性(42.64%,5 103/11 969)高于女性(28.41%,3 406/11 988),≥40岁人群感染率超过50%。结论佛山市1980—2000年间肝吸虫人群感染率呈下降趋势,近10年有所反弹,全人群均可感染,以男性、中老年为主,提示肝吸虫病防治是一项须长期坚持的社会性防控工作,既需要政府主导、部门配合,采取综合防控措施,也需要群众提高意识,改变生活习惯。
Objective To analyze the prevalence and epidemiological characteristics of hepatic flukes in the population from 1980 to 2010 in Foshan City, and to provide reference for the prevention and treatment of hepatic diseases in Foshan City. Methods used in the data from 1980 to 2010 in Foshan City, prevention and treatment of clonorchiasis summary descriptive epidemiological methods to analyze the data. Results From 1980 to 2010, a total of 959 905 people were examined in Foshan City. A total of 232 443 cases of hepatic infections were found, with a crude infection rate of 24.22%. Among them, the highest infection rate was 56.84% (13 506/23 761) in 1989, To a record low in 2000, with an infection rate of 3.47% (3 665/105 623) and a trend of upward trend in 2005. There were different degrees of hepatic flukes infection in 5 districts of the city, and the average infection rates were Chancheng District (42.49%, 11444/26 933), Shunde District (32.12%, 168 139/523 551), Gaoming District 29.15%, 2 041/7 001), Sanshui (13.80%, 27 813/201 572) and Nanhai (11.45%, 23 006/200 848). The differences among different age groups and gender were statistically significant (P <0.01 or P <0.05), of which the male (42.64%, 5 103/11 969) were higher than the female (28.41%, 3 406/11 988) The prevalence of over 50% of the population. Conclusion The infection rate of hepatic flukes in Foshan City has been declining from 1980 to 2000, and has rebounded in recent 10 years. The whole population can be infected, mainly in men and middle-aged and elderly people, suggesting that prevention and treatment of hepatic trematodes is a long-term society Sex prevention and control work requires both government-led and departmental cooperation to take comprehensive prevention and control measures. It also requires the masses to raise their awareness and change their living habits.