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[目的]评价荔浦县疟疾防治效果。[方法]对1950~2009年荔浦县疟疾资料进行分析。[结果]1950~2009年累计疟疾发病7 879例,年均发病率为4.36/万。全部病例中,本地居民7 718例,流动人口161例。合计血检213 903人,阳性的292例(本地居民131例,流动人口161例),平均阳性率为0.002%。20世纪50~60年代以临床诊断为主,80年代以显微镜检查确诊为主,1975年以后当地居民中未发现疟疾患者,2008年以后当地居民和流动人口均未发现疟疾病例。当地居民疟疾患者检出的疟原虫均为间日疟疟原虫,20世纪90年代从到外省返回的病人中检出3例恶性疟患者,2006年从缅甸感染的1例患者检出恶性疟原虫。[结论]目前荔浦县疟疾流行已经得到有效控制。
[Objective] To evaluate the malaria control effect in Lipu County. [Method] The malaria data of Lipu County from 1950 to 2009 were analyzed. [Results] The cumulative incidence of malaria from 1978 to 2009 was 7 879 with an average annual incidence of 4.36 / million. In all cases, there were 7 718 local residents and 161 floating population. Total 213 903 blood tests, positive 292 cases (131 cases of local residents, floating population of 161 cases), the average positive rate was 0.002%. From the 1950s to the 1960s, clinical diagnosis was the main method. Microscopic examination was the main method in the 1980s. Since 1975, no malaria patients were found among the local residents. After 2008, no malaria cases were found among the local residents and floating population. Plasmodium parasites of Plasmodium vivax were detected in malaria patients in the local community. Three cases of falciparum malaria were detected in patients returning from other provinces in the 1990s. In 2006, one case of Plasmodium falciparum . [Conclusion] At present, the epidemic of malaria in Lipu County has been effectively controlled.