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目的分析四川省仁寿县晚期血吸虫病(晚血)患者现状及内科救助情况,为完善晚血救助措施提供依据。方法收集仁寿县晚血患者体检、救助资料、相关评价指标等。结果 2013年仁寿县现存晚血患者99例,分布于12个乡镇、社区,其中男性59例,女性40例,中位数年龄62岁;巨脾型11例,腹水型85例,结肠增厚型1例,侏儒型2例。2010-2013年共对92例晚血患者进行了内科治疗救助,病情好转78例(84.8%)、无效14例(15.2%)、无痊愈及死亡病例。对2013年被救助的53例晚血患者进行问卷调查,对医疗机构及服务质量总体满意度96.2%;完全可以自我照顾的和完全可以进行日常活动的分别占77.4%和64.2%,有不同程度疼痛不适和焦虑沮丧的占83.0%和79.3%。结论仁寿县晚血患者的基本情况较差,对其进行医疗救助,可减轻患者心理和经济负担,延缓病情发展。
Objective To analyze the status of patients with advanced schistosomiasis (late blood) in Renshou County, Sichuan Province and their medical aid, so as to provide basis for improving the late blood rescue measures. Methods Renshou County late blood collection of physical examination, rescue data, the relevant evaluation indicators. Results 99 cases of existing late blood in Renshou County in 2013 were located in 12 townships and communities, including 59 males and 40 females, with a median age of 62 years. Among them, 11 cases were splenomegaly, 85 cases were ascites, Type in 1 case, dwarf type in 2 cases. A total of 92 cases of patients with late blood were treated with medical treatment during 2010-2013. There were 78 cases (84.8%) were cured and 14 cases (15.2%) were ineffective, with no recovery or death. Questionnaire survey was conducted on 53 late blood donors who were rescued in 2013, with an overall satisfaction rate of 96.2% for the medical institutions and service quality; 77.4% and 64.2% of those who were completely self-care and able to perform daily activities in varying degrees Pain and discomfort accounted for 83.0% and 79.3%, respectively. Conclusion Renshou County, the late blood of patients with poor basic conditions, its medical assistance can reduce the psychological and economic burden on patients, delay the progression of the disease.