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目的了解涟水县现存慢性丝虫病患者现状。方法对登记在册的慢性丝虫病患者逐一进行走访,调查每名患者的临床体征及1年内病情发作情况。结果截至2014年,涟水县现存慢性丝虫病患者361例,分布于23个乡(镇)。男性128例,女性233例,农民占98.34%,70岁及以上者占63.71%。患者临床体征包括下肢淋巴液肿、乳糜尿、淋巴管(结)炎和鞘膜积液,分别占87.81%、18.56%、12.74%、2.49%,同时兼有2种及以上体征者占8.86%。在下肢淋巴液肿中,Ⅰ~Ⅲ期占97.79%,Ⅳ期及以上占2.21%。2014年,28.36%的乳糜尿患者和45.65%的淋巴管(结)炎患者病情出现反复。结论应继续积极开展慢性丝虫病患者的关怀和照料,以减轻其痛苦,提高生活质量。
Objective To understand the current situation of chronic filariasis in Lianshui County. Methods The registered chronic filariasis patients were interviewed one by one to investigate the clinical signs of each patient and the onset of illness within one year. Results As of 2014, there were 361 chronic filariasis patients in Lianshui County, distributed in 23 townships (towns). There were 128 males and 233 females, with farmers accounting for 98.34% and those aged 70 and over accounting for 63.71%. The clinical signs of the patients included lower extremity lymphedema, chyluria, lymphatic (conjunctival) and hydrocele, accounting for 87.81%, 18.56%, 12.74% and 2.49% respectively, while those with two or more signs accounted for 8.86% . In the lower limb lymphedema, Ⅰ ~ Ⅲ accounted for 97.79%, Ⅳ and above accounted for 2.21%. In 2014, 28.36% of patients with chyluria and 45.65% of patients with lymphangitic (conjunctival) inflammation repeated. Conclusions Care and care of patients with chronic filariasis should continue to be actively carried out in order to reduce their suffering and improve their quality of life.