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目的了解新疆和田地区棘球蚴病的流行范围和程度,为棘球蚴病防治提供依据。方法检查屠宰场屠宰的家畜脏器统计棘球蚴病感染率,采用腹部B超检查调查人群患病率,ELISA法检测6~12岁儿童血清棘球蚴病抗体并计算犬棘球绦虫成虫粪抗原阳性率。结果 B超检查19 428人,携带棘球蚴囊24人,患病率0.12%(24/19 428);检测6~12岁儿童8 014人,血清棘球蚴病抗体阳性率2.61%(209/8 014),男女抗体阳性率之比为1.07∶1(108/101),差异无统计学意义(χ2=0.57,P>0.05);11岁~年龄组抗体阳性率(4.17%)高于8岁~(2.72%,χ2=4.35)、9岁~(1.84%,χ2=15.19)、10岁~(2.40%,χ2=8.00)和12岁~(1.95%,χ2=13.40)年龄组,差异有统计学意义(均P<0.05);家畜调查共检查羊6 244只、感染率3.30%(206/6 244),肝、肺及其他部位囊携带比例为97∶5∶1;共采集并检测犬粪1 401只(份),粪抗原阳性率2.36%(33/1 401)。结论和田地区棘球蚴病的感染率和患病率相对较低,但家畜感染率和犬粪抗原阳性率处在相对较高的水平,应加强防治,尤其在农(牧)区和城镇居民中开展卫生宣传教育工作是十分迫切需要的。
Objective To understand the epidemic range and extent of hydatid disease in the Hetian area of Xinjiang, and to provide evidence for the prevention and treatment of hydatid disease. Methods The rates of echinococcosis were measured in slaughterhouses. The prevalence of echinococcosis was measured by abdominal ultrasonography. Serum Echinococcosis antibody was detected by ELISA in children aged 6 ~ Antigen positive rate. Results A total of 19 428 persons with Echinococcosis cysts were found in the B-mode ultrasound examination, with a prevalence of 0.12% (24/19 428). A total of 8 014 children aged 6-12 years were detected. The positive rate of serum Echinococcosis antibody was 2.61% (209 / 8 014). The positive ratio of male to female was 1.07:1 (108/101), the difference was not statistically significant (χ2 = 0.57, P> 0.05). The positive rate of antibody in the age group of 11 years old was 4.17% (2.72%, χ2 = 4.35), 9 years old (1.84%, χ2 = 15.19), 10 years old (2.40%, χ2 = 8.00) and 12 years old (1.95%, χ2 = 13.40) There were 6 244 sheep in the livestock survey, the infection rate was 3.30% (206/6 244), and the proportion of the lung, lung and other parts was 97: 5: 1. A total of 6 1 401 canine samples and feces antigen positive rate was 2.36% (33/1401). Conclusion The infection rate and prevalence rate of hydatid disease in Hetian area are relatively low, but the infection rate of livestock and the positive rate of canine antigen are at a relatively high level, so the prevention and cure should be strengthened, especially in the areas of farming and animal husbandry and urban residents In carrying out health education and publicity is very urgent need.