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目的了解四川省丹巴县人群带绦虫病和猪囊虫病现状,为控制该病提供依据。方法 2008-2014年对丹巴县6个乡30个行政村的村民进行问卷调查、血清学调查、粪便检查、猪囊虫病相关症状体征检查,并回顾性调查全县相关疫情资料。结果回顾调查显示1990-2014年全县因生食香猪腿而致3起猪囊虫病流行,确诊脑囊虫病患者14例,无死亡病例。2008-2014年对1 013人进行了粪便带绦虫卵检查,检出带绦虫卵23例,人群带绦虫感染率为2.27%;同时对1273人进行了猪囊尾蚴抗体及相关症状体征调查,查出囊虫病患者49人,人群囊虫病患病率为3.85%。不同乡镇和不同年龄组的人群猪肉绦虫病和囊虫病感染情况差异较大。结论四川省丹巴县带肉绦虫和囊虫病流行较重,应加强畜牧食品检疫,提倡生熟食具分开、粪便入厕、生猪圈养等,开展重点职业人群和重点乡镇的防治。
Objective To understand the population status of taeniasis and swine cysticercosis in Danba County, Sichuan Province, so as to provide evidences for controlling the disease. Methods From 2008 to 2014, questionnaires, serological investigation, stool examination and swine cysticercosis-related symptoms and signs were conducted among villagers in 30 administrative villages in 6 townships of Danba county. The related epidemic data of the county were retrospectively investigated. Results of the review The survey showed that from 1990 to 2014 the county due to raw meat Xiang pig leg caused 3 swine cysticercosis epidemic, diagnosed with cerebral cysticercosis in 14 patients, no deaths. From 2008 to 2014, 1 013 people were tested for tapeworm eggs, 23 cases of tapeworm eggs were detected, and the infection rate of people in the crowd was 2.27%. At the same time, 1273 people were investigated for antibody and related symptoms and signs of Cysticercus cellulosae Out of 49 patients with cysticercosis, the prevalence of cysticercosis in the population was 3.85%. There are significant differences in the prevalence of pork taeniasis and cysticercosis in different townships and in different age groups. Conclusion Danba County, Sichuan Province has a relatively heavy epidemic of meat tapeworms and cysticercosis. Animal husbandry and food quarantine should be strengthened to promote the separation of raw and cooked utensils, feces into the toilet and piggery, and prevention and treatment of key occupational groups and key villages and towns.