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[目的]了解海南州人群包虫病的的基本情况,掌握包虫病在该州人群中的发病动态和趋势,分析其流行因素及特点。[方法]收集整理海南州、县、市级各大医院建院以来截至2000年县级以上(含大型工矿、企业、系统、及驻军)医院有案可查的包虫病病案资料,应用SPSS11.5软件分析包虫病在该地区人群中不同年龄、性别、民族、职业之间及不同年间的患病详细情况及可能的影响因素。[结果]收集相关资料共694份,女性患病率较男性高,为406例(58.50%)且21～30岁年龄段发病比率最高(26.85%);涉及汉、藏、回、土4个民族,其中藏族比率最高(82.23%),汉族次之;牧民比率最高(63.02%),其次是农民(12.57%);年度比较,1992年比率最高(11.71%),1984年最低1例(0.15%),有犬接触史者占63.3%,有牧区生活史者占84.6%。[结论]本次调查结果反映1990年以来青海省海南州包虫病人群发病总体处于持续较高水平,表明包虫病对该地区的人群健康和经济发展危害严重,需大力控制。
[Objective] To understand the basic situation of echinococcosis in Hainan and to understand the etiology and trend of echinococcosis among the population of the state and to analyze its epidemic factors and characteristics. [Method] Collect and sort the case records of echinococcosis admitted to hospitals above the county level (including large-scale industrial and mining enterprises, systems and garrisons) up to 2000 since the establishment of hospitals in Hainan’s counties and municipalities. Application SPSS11 .5 Software to analyze the details of the echinococcosis and its possible influencing factors among different age, sex, ethnicity, occupation and years among the population in the area. [Results] A total of 694 samples were collected. The prevalence rate of females was higher than that of males (406 cases, 58.50%) and the highest incidence rate was 26.85% (21.8 years) (82.23%), followed by the Han nationality; the highest rate of herders was 63.02%, followed by that of peasants (12.57%); the annual rate was the highest in 1992 (11.71%) and the lowest rate was in 1984 %), 63.3% had history of contact with dogs, and 84.6% had pastoral life history. [Conclusion] The findings of this survey reflect that the overall incidence of hydatid disease in Hainan Prefecture of Qinghai Province has been at a sustained high level since 1990, indicating that hydatid disease is seriously harmful to population health and economic development in the region and needs to be vigorously controlled.