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目的了解西吉县人群包虫病发病及分布情况,为包虫病的防控提供科学依据。方法对西吉县开展包虫病本底基线调查,依托民生项目对病人及家犬实施登记管理和服药,对包虫病病人实施医疗救治。结果西吉县人群包虫病平均感染率从2007年的29.56%下降到2011年的3.21%。5年共确诊包虫病患者641例,其中囊型患者359例、占病型的56.01%,泡型患者267例、占病型的41.65%,混合型15例、占病型的2.34%;其中实施手术治疗86例。家犬是主要储存宿主。结论家犬的管理和驱虫是关键,高危人群的预防服药和健康教育也很重要。西吉县包虫病发病率呈逐年下降趋势,综合防控效果明显。
Objective To understand the incidence and distribution of hydatid disease in Xiji County and to provide a scientific basis for the prevention and control of hydatid disease. Methods The baseline survey of echinococcosis was carried out in Xiji County. Based on the Minsheng Project, the patients and domestic dogs were registered and administered, and medical treatment was performed on patients with hydatid disease. Results The average infection rate of echinococcosis in Xiji County dropped from 29.56% in 2007 to 3.21% in 2011. A total of 641 cases of hydatidosis were diagnosed in 5 years, of which 359 cases were cystic, accounting for 56.01% of cases, 267 cases of bubbly, accounting for 41.65% of cases, 15 cases of mixed type and accounting for 2.34% of cases. Among them, 86 cases were operated on. Dogs are the main storage host. Conclusion The management and de-worming of domestic dogs is the key. It is also important to take preventive medicine and health education in high-risk groups. The incidence of hydatid disease in Xiji County shows a decreasing trend year by year, and the comprehensive prevention and control effect is obvious.