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目的分析黔南州1951-2014年发热病人血检与效益产出,为制定疟疾防治策略与措施提供参考依据。方法采用描述流行病学方法,分析黔南州1951-2014年人口学资料、疟疾防治资料。结果黔南州人口持续增长,疟疾发病率持续下降,由20世纪50年代的193.41/万逐渐降至2014年的0.13/万,2012年来连续3年无当地病例;发热病人血检疟原虫阳性率逐年下降,由20世纪90年代前的6.25%~7.17%,逐渐降至2010-2014年的0.01%。结论在低流行状态下,建议取消将一、二、三类县辖区人口的1%、2%和2‰的血检指标来衡量和要求医疗卫生单位开展发热病人血检,而是实事求是地百分之百将“临床诊断为疟疾、疑似疟疾、不明原因的发热病人”全部纳入血检范畴,严格血检对象,杜绝弄虚作假,降低资源浪费,科学实施防治策略与措施,如期实现消除疟疾目标。
Objective To analyze the blood test and benefit output of fever patients in Qiannan Prefecture from 1951 to 2014 and provide references for formulating malaria control strategies and measures. Methods Descriptive epidemiological methods were used to analyze demographic data and malaria control data of Qiannan Prefecture from 1951 to 2014. Results The population of Qiannan Prefecture continued to increase. The incidence of malaria continued to decline from 193.41 / million in the 1950s to 0.13 / million in 2014, with no cases in three consecutive years in 2012. The positive rate of blood samples in febrile sepsis It dropped from 6.25% -7.17% of the pre-1990s to 0.01% in 2010-2014. Conclusions Under the prevalence of low prevalence, it is recommended to abolish the blood test indices of 1%, 2% and 2% of the population in the first, second and third categories of districts to measure and require medical and health units to carry out blood tests for febrile patients, but to seek truth from facts The “clinical diagnosis of malaria, suspected malaria, unexplained fever patients,” all included in the scope of blood tests, strict blood tests, to eliminate fraud, reduce waste of resources, scientific control strategies and measures to achieve the goal of eliminating malaria.