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目的通过对连云港市1997-2014年近18年麻风病流行现状进行分析,为制定现阶段麻风病防治措施提供科学依据。方法统计发现率、患病率,结合新发现病例性别、确诊时年龄、病期、发现方式、型比、传染源和畸残率,运用描述流行病学方法进行分析。结果连云港市麻风病病例分布于全市4区3县,其中灌云最多。发病男性多于女性,男女比为3.29∶1;发病职业主要为农民,占95.56%(86/90);最大年龄84岁、最小17岁,平均45.83岁,以30~44岁组发病较多,占41.11%(37/90);家内传染是较常见的传染来源,占28.89%(26/90);多菌型与少菌型比值为10.13∶1;皮肤科门诊发现的占60.00%(54/90)。结论连云港市麻风病处于低流行状态,提倡主动、被动发现方式相结合,以期早期发现,及时治疗,控制传染源。
Objective To analyze the status quo of leprosy epidemic in Lianyungang from 1997 to 2014 and the past 18 years so as to provide a scientific basis for making the prevention and control measures for leprosy at this stage. Methods The rates of detection and prevalence were statistically analyzed according to the epidemiological method according to the sex of newly discovered cases, the age at diagnosis, the duration of disease, the way of detection, the type of infection, the source of infection and the rate of abortion. Results The cases of leprosy in Lianyungang City were distributed in 4 districts and 3 counties in the city, of which the most was cloud-filling. The incidence of males and females was more than that of females, with a ratio of males to females of 3.29:1. The main occupational diseases were peasants, accounting for 95.56% (86/90); the oldest was 84 years old and the youngest was 17 years old, with an average of 45.83 years old. , Accounting for 41.11% (37/90). In-house infection was the most common source of infection, accounting for 28.89% (26/90). The ratio of multi-bacteria to small-bacteria was 10.13:1. The dermatology clinic accounted for 60.00% 54/90). Conclusions Leprosy in Lianyungang City is in a low prevalence status. It advocates the combination of active and passive findings in order to find, treat and control the source of infection in an early stage.