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目的了解我国西部藏族地区四川省雅江县及甘肃省岷县绦/囊虫病的流行现状。方法采用以询问排节片史为主的方法对雅江县和岷县绦/囊虫病病例进行调查,用槟榔-南瓜子法对调查到的病人进行驱虫治疗,对驱出的成虫进行形态学鉴定和测量。结果在雅江县呷拉乡及瓦多乡的7个村寨共调查1137人,有自觉症状的病人73例,经驱虫治疗后有2人排出猪带绦虫,21人排出牛带绦虫,另发现皮下结节患者18例,脑囊虫病患者2例。在岷县寺沟乡及秦许乡的6个村寨共调查652人,27例有排节片史病人均未驱出绦虫,岷县确诊的脑囊虫病患者17例。结论目前四川省雅江县及甘肃省岷县存在绦/囊虫病的流行,其原因是当地藏民喜欢生吃猪肉和牛肉;岷县囊虫病的流行可能与当地农民接触粪便机会较多有关。
Objective To understand the prevalence of sodiamec / cysticercosis in Yajiang County, Sichuan Province and Minxian County, Gansu Province, western Tibet. Methods To investigate the cases of Yajing County and Minxian sarcina and cysticercosis by using the method of interrogating chorionic villi, the de-worming patients were treated with betel-pumpkin sub-method and the expelled adults Learn to identify and measure. Results A total of 1,137 people were investigated in 7 villages in Dala Township and Waduo Township of Yajiang County. Among them, 73 patients had symptoms. After the treatment of deworming, 2 people were given Taenia solium and 21 people were found Taenia solium. 18 cases of subcutaneous nodules, 2 cases of cerebral cysticercosis. A total of 652 people were surveyed in 6 villages in Minxian Temple and Qinxu Township, and none of 27 patients with tapeworm history were diagnosed. There were 17 patients with cerebral cysticercosis diagnosed in Minxian County. Conclusions There is a prevalence of sarcandrial cysticercosis in Yajiang County, Sichuan Province and Minxian County, Gansu Province. The reason is that local Tibetans like to eat raw pork and beef. The prevalence of cysticercosis in Minxian County may be related to the chance of local farmers contacting feces .