摘要
[目的]探讨流行病学研究的方法,了解四川甘孜地区人体包虫病流行情况,为防治策略提供科学数据。[方法]access数据库录入、分析达通马4个乡近5年人群包虫病调查资料。[结果]经统计分析:①人群患病率4.7%(218/4017);患病构成率在不同民族(藏族143,99%,P﹤0.01),不同职业(牧民118,81%,P﹤0.01),不同文化程度(文盲117,81%,P﹤0.01),不同乡(P﹤0.01),不同性别(男49,33.7%;女96,66.2%,P﹤0.01)及不同年龄组均有明显差异。②囊型CE(35/145,24.14%)、泡型AE(90/145,62.07%)混合流行;泡型AE流行程度严重(u=4.919,P﹤0.01)。③泡型AE患者血清阳性率(42/62)66.7%明显高于囊型CE患者(14/62)22.6%(u=3.737,P﹤0.01),是两型包虫病的生物学特征。④影像学阳性者中血清学阳性者占90.3%,提示Dot-ELISA技术是一种敏感的早期包虫病诊断方法。[结论]①该地两型包虫病(AE,CE)混合流行。②access技术适用于流行病学调查,值得推广。
[Objective] To discuss the methods of epidemiology, and understand the epidemic situation of human edhinococcosis in Ganzi country of Sichuan province so as to provide scientific data for prevention and cure. [Methods] The inquisitional data from four villages of Datongma area within 5 years were recorded, dealt with and analyzed by the access database. [ Results] ①The prevalence of the population was 4.7%, and sick constituent rates in different nation （hide race 99%, P〈 0.01）, occupation （herd 81%, P〈 0.01）, culture （illiteracy 81%, P〈 0.01） , village （P〈 0.01） , sex （male 49, 33.7%, female 96, 66.2%, P 〈 0.01 ） and age were obviously different. ② The epidemiologieal character of human edhinococcosis was that cystic edhinococcosis （ 35/145, 24.8% ） and alveolar edhinococcosis （ 90/145, 66.4% ） were the mix epidemic; the epidemic degree of alveolar edhinococcosis （AE） was very severe （u = 4.919, P〈 0.01） in that region. ③ The character of hydatidosis biology showed that the positive rate of sera of alveolar echinoeoccosis （AE） 42/62, 66.7% was obviouslyhigher than that of cystic echinococcosis （CE） 14/62. 22.6% （u = 3.737, P〈 0.01）. ④ 90.3% of the positive eases were found by Dot-ELISA among all positive cases diagnosed by B-ultrasound and X-ray. This indicated that ELISA was a pristine and sensitive method to diagnose the hydafidosis. [ Conclusion ] ① The type of twain hydatidosis （AE, CE） was the mix epidemic in the region. ② The technology of access is suitable to the epidemiology survey, and it deserves to be extended.
出处
《现代预防医学》
CAS
北大核心
2008年第1期29-32,共4页
Modern Preventive Medicine
关键词
包虫病
数据库
流行病学调查
细粒棘球蚴病(CE)
泡球蚴病(AE)
Hydatidosis/Echinococcosis
Database
Epidemiology survey
Cystic echinococcosis （CE）
Alveolar echinococcosis （AE）
