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目的了解和分析海南省中部山区人体寄生虫病的流行现状和趋势,评价十多年来的防治效果,为制定防治策略提供依据。方法按《关于全国人体重要寄生虫病现状调查实施细则》进行;使用Spss10.0软件,对调查资料进行统计学处理。结果2002年在海南省中部通什市和琼中县共粪检1653人,总感染率为76.83%,共查见寄生虫15种。其中华枝睾吸虫卵和美丽筒线虫卵为本地区首次发现,土源性线虫的流行特征为黎族感染最高,苗族次之;学生感染最高,农民次之;文盲感染最高,之后随着学历的提高而感染下降;女性感染明显高于男性。钩虫感染随着年龄的增长而升高;鞭虫、蛔虫感染学龄期少年儿童较多。结论本次调查结果反映了海南省中部山区当前人体重要寄生虫感染呈下降趋势,钩虫感染率较高,应作为优先防治的病种,并采取综合性的防治措施,以取得事半功倍的效果。
Objective To understand and analyze the prevalence and trend of human parasitic diseases in central mountainous areas of Hainan Province, evaluate the control effect over the past decade and provide the basis for the prevention and treatment strategies. The method was carried out in accordance with the Detailed Rules for the Investigation of the Present Status of Important Parasitic Diseases in People’s Republic of China. Using the software Spss10.0, the survey data were statistically processed. Results In 2002, 1653 fecal examination was carried out in Tungshi and Qiongzhong counties in central Hainan Province. The total infection rate was 76.83%. A total of 15 parasite species were found. Among them, the eggs of C. sinensis and the eggs of the beautiful tube were found for the first time in this area. The prevalence of soil-borne nematodes was the highest in Li ethnic group, followed by the Miao minority. The highest level of student infection and farmer’s second priority were the illiterate infection, Higher education and lower infection; women infected significantly higher than men. Hookworm infection increased with age; whipworm, roundworm infections more children of school age. Conclusion The findings of this survey reflect that the prevalence of important parasitic infections in mountainous areas in central mountain areas of Hainan Province is on the decline. Hookworm infection rates are high and should be taken as priority prevention and treatment measures. Comprehensive prevention and treatment measures should be taken to achieve a multiplier effect.