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目的分析甘肃省麻风病流行情况,为制定“十三五”规划和麻风病防治工作提供科学依据。方法回顾性分析甘肃省麻风病流行病学资料,统计发病率、发现率、患病率、延迟期、畸残率等指标进行描述和比较。结果 2000—2015年甘肃省新确诊麻风病患者110例,其中男性72例,女性38例;多菌型82例,少菌型28例;家庭内发病62例(56.364%);被动发现90例(81.818%),平均延迟期55.032个月,年均发现率0.026/10万,年均患病率0.009/万;新发病例主要分布在陇南市(56.364%)的偏僻乡村,其次为甘南州、平凉和庆阳等9个市(州)的30个县。结论甘肃省麻风病处于低流行状态,发病率呈缓慢下降趋势,因病例发现滞后、Ⅱ级畸残率较高,要彻底消灭麻风病仍需不懈努力。
Objective To analyze the epidemic situation of leprosy in Gansu Province and provide a scientific basis for formulating the “13th Five-Year Plan” and preventing and treating leprosy. Methods The epidemiological data of leprosy in Gansu Province were retrospectively analyzed. The incidences, prevalence rates, prevalence rates, delay rates and the rate of malformations were calculated and compared. Results A total of 110 new cases of leprosy were diagnosed in Gansu Province from 2000 to 2015, including 72 males and 38 females, 82 cases of multi-bacteria and 28 cases of small bacteria, 62 cases (56.364%) in the family and 90 cases of passive detection (81.818%) with an average delay of 55.032 months with an average annual rate of 0.026 / 100,000 and an annual average rate of 0.009 / million. The newly diagnosed cases were mainly found in remote villages in Longnan (56.364%), followed by Gannan , Pingliang and Qingyang nine cities (prefectures) 30 counties. Conclusion Leprosy in Gansu Province is in a low prevalence state with a slowly decreasing trend. Due to the lagged cases and the high level of secondary deformity, it is still necessary to make unremitting efforts to eliminate leprosy completely.