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[新疆和布克赛尔蒙古自治县超声诊断人及羊肝包虫病的患病率]

[Prevalence of human and ovine hepatic hydatid disease diagnosed by ultrasound in Hobukesar Mongolian Autonomous County of Xinjiang].

作者信息

Li Hai-tao, Song Tao, Duan Xin-yu, Qi Xinwei, Feng Xiao-hui, Wang Yun-hai, Wen Hao

机构信息

Department of Hepatobiliary and Hydatid, Digestive and Vascular Surgery Centre.

Department of Ultrasonography, First Teaching Hospital, Xinjiang Medical University, State Key Laboratory Incubation Base of Xinjiang Major Diseases Research and Xinjiang Key Laboratory of Echinococcosis, Urumqi 830011, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2013 Dec;34(12):1176-8.

PMID:24518014
Abstract

OBJECTIVE

To investigate the prevalence of human and ovine hepatic hydatid disease in Hobukesar Mongolian Autonomous County of Xinjiang (HMACX)and to evaluate the related strategies for prevention and control of the disease.

METHODS

A prevalence screening method was used to screen local residents and sheep for hydatid disease in HMACX. Based on B ultrasound images, the screening programs on people and sheep in different sites were carried and the findings were comparatively analyzed.

RESULTS

Findings of B ultrasound images through screening program among human beings showed that the positive rates of hydatid diseases 4.4% (23/521), of cystic echinococcosis and alveolar echinococcosis as 4.0% (21/521) and 0.8% (4/521)respectively. The infection rate on sheep was 3.8% (7/180). The positive rates of human and ovine hepatic hydatid disease in Township Chagangule were higher than in other areas. There was no significant statistical difference noticed on human positive rates between Township Chagangule and other areas. Statistically, significant difference for positive rate in ovine was seen between Township Chagangule and Township Bayinaowa(χ(2) = 4.8259, P = 0.0280). As intermediate host of hydatid disease, the infection rate in sheep was higher than that in human beings at Township Chagangule.

CONCLUSION

HMACX remained a highly endemic area for human and ovine hydatid disease.

摘要

目的

调查新疆和布克赛尔蒙古自治县(和布克赛尔县)人和羊肝包虫病的流行情况,并评估相关防控策略。

方法

采用现况筛查方法对和布克赛尔县当地居民和羊进行包虫病筛查。依据B超图像,在不同地点开展人和羊的筛查项目,并对结果进行对比分析。

结果

通过对人群的筛查项目,B超图像检查结果显示包虫病阳性率为4.4%(23/521),其中囊型包虫病和泡型包虫病的阳性率分别为4.0%(21/521)和0.8%(4/521)。羊的感染率为3.8%(7/180)。查干库勒乡人和羊肝包虫病的阳性率高于其他地区。查干库勒乡与其他地区人群阳性率差异无统计学意义。查干库勒乡与巴音敖瓦乡羊的阳性率差异有统计学意义(χ(2)=4.8259,P=0.0280)。在查干库勒乡,作为包虫病中间宿主,羊的感染率高于人。

结论

和布克赛尔县仍是人和羊肝包虫病的高流行区。

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