广东省顺德市近20年华支睾吸虫病流行病学调查回顾分析

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目的了解广东省顺德市近20年来华支睾吸虫病流行情况及发展趋势,为综合防治该病提供科学依据。方法2014年9月-2015年2月在顺德市对5个镇街居民进行分层随机抽样,用改良加藤厚片涂片法粪检虫卵及进行相关问卷调查,并将调查结果与文献报道自1995年以来的调查结果作对比分析。结果 20年来,感染率在38.7%~67.5%之间;感染率男性高于女性,并随着年龄增加而增加;各镇街的感染率有所不同;食用生、未熟淡水鱼及不分开生熟厨具仍是感染的高危因素;知晓华支睾吸虫的感染途径、所致疾病等知识有利于降低发病率;6.73%的居民自知曾感染,9.06%的居民曾接受过驱虫治疗。结论 20年来顺德市华支睾吸虫病感染率无明显下降,防控任务十分艰巨,卫生防疫部门仍应积极开展综合性的防控工作,并加强各级医院在查、防、治该病中所起的作用。 Objective To understand the prevalence and development trend of Clonorchis sinensis in Shunde City, Guangdong Province in recent 20 years, and provide a scientific basis for the comprehensive prevention and treatment of this disease. Methods From September 2014 to February 2015, residents of 5 townships in Shunde City were stratified and randomly sampled. The eggs were excreted with improved Kato thick film smear method and related questionnaires were surveyed. The survey results and the reported results A comparative analysis of the survey results since 1995. Results In 20 years, the infection rates ranged from 38.7% to 67.5%. The prevalence of infection was higher in males than females and increased with increasing age. The infection rate in towns and townships was different. Fresh and unripe fresh fish, Cooked kitchenware is still a risk factor for infection; knowledge of Clonorchis sinensis infection route, the disease caused by knowledge is conducive to reduce the incidence; 6.73% of residents know that they have been infected, 9.06% of residents had received deworming treatment. Conclusion The infection rate of Clonorchis sinensis in Shunde City in the past 20 years has not dropped significantly, and the task of prevention and control is very arduous. Health and epidemic prevention department should still actively carry out comprehensive prevention and control work, and strengthen hospitals at all levels in the investigation, prevention and treatment of the disease The role played.
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