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目的分析新疆维吾尔自治区哈巴河县人群包虫病流行特征及其影响因素,为推进当地包虫病防治提供依据。方法收集2008-2013年全县人群筛查数据进行流行特征分析,相关因素采用logistic回归分析。结果共查出包虫病患者161例,其中泡型患者2例,推算全县包虫病患病率380.11/10万,囊型包虫病患病率375.39/10万,泡型包虫病患病率4.72/10万。10岁以下人群包虫病患者构成比为2.48%(4/161),10~20岁人群包虫病患者构成比为9.94%(16/161)。随着年龄增长,当地居民患包虫病的风险增加,40~50岁达到最高(OR=2.5325);牧民患病风险比农民高2.626倍,私宰牲畜比未私宰牲畜居民患病风险高3.245倍;牧业乡加依勒玛乡的居民患病风险比农业乡的居民患病风险高2.352倍。结论随着包虫病综合防治措施推进,10岁以下人群包虫病患者构成比明显下降,但当地患病风险依然存在。
Objective To analyze the epidemiological characteristics and influencing factors of hydatid disease among people in Habahe County, Xinjiang Uygur Autonomous Region, and to provide evidence for the prevention and control of hydatid disease in the area. Methods The epidemiological characteristics of the population screening data collected from 2008 to 2013 in our county were collected and the related factors were analyzed by logistic regression. Results A total of 161 echinococcosis patients were identified, of which 2 were foamy patients. The prevalence of echinococcosis in the county was 380.11 / 100000, the prevalence of cystic echinococcosis was 375.39 / The prevalence was 4.72 / 100,000. The percentage of patients with echinococcosis under the age of 10 was 2.48% (4/161), while the percentage of patients with echinococcosis was 10%. The constituent ratio was 9.94% (16/161). The risk of hydatid disease of local residents increased with age, reaching the highest at 40 to 50 (OR = 2.5325). The risk of herdsmen was 2.626 times higher than that of peasants, and the risk of private slaughtering animals was higher than that of non-selfish livestock residents 3.245 times. The risk of residents living in rural township plus Yiluma Township is 2.352 times higher than that of rural residents. Conclusion With the progress of comprehensive prevention and treatment of echinococcosis, the constituent ratio of patients with hydatidosis under 10 years of age is obviously decreased, but the risk of local diseases still exists.