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[新疆克孜勒苏柯尔克孜自治州棘球蚴病流行病学研究]

[Epidemiological Studies on Echinococcosis in Kizilsu Kirgiz Autonomous Prefecture of Xinjiang].

作者信息

Chen Xiao-ying, Setiwaldi Yusupjan, Osman Yisilayin

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2016 Oct;34(5):409-13.

PMID:30130008
Abstract

OBJECTIVE

To understand the prevalence and characteristics of echinococcosis in Kizilsu Kirgiz Autonomous Prefecture (abbreviated as Kizilsu) of Xinjiang, in the aim of providing evidence for prevention and treatment of echinococcosis.

METHODS

Sixty-two villages were selected as investigation spots from 19 towns in agricultural and pasturing areas of Ulugqat County, Artux City, Akto County, and Akqi County during 2011-2012. Ultrasound abdominal scan was performed in all residents in these spots to examine the occurance of echinococcosis. ELISA was performed to detect the echinococcosis-specific antibody in sera from children of 6-12 years and the antigen of Echinococcus granulosus in freshly-collected dog feces. Hydatid cysts in viscera of at slaughterhouses in the four spots were examined by touching and visual observation.

RESULTS

Ultrasound was conducted in 12 000 residents, among whom 60 were found to be positive for echinococcosis (echinococcosis granulosa), with a morbidity of 0.5%(60/12 000). The morbidity in Ulugqat County was 1.1%(35/3 200), significantly higher than that in Artux City(0.5%, 13/2 400), Akto County(0.2%, 8/3 200), and Akqi County(0.1%, 4/3 200)(χ2=4.92-24.79, P<0.05). The morbidity was highest in residents ≥71 years(1.2%, 4/323), followed by the age group of 0-10 years(0.9%, 3/350), but with no significant difference among age groups(χ2=0.39-3.31, P>0.05). The serum antibody positive rate in children was 3.1%(230/7 338), highest in Artux City(4.9%, 89/1 828) with significant difference in comparison to Akto County(2.9%, 56/1 927), and Akqi County(0.7%, 11/1 639)(χ2=9.71, 54.34, P<0.05). The hydatid cyst rate in livestock was 7.7%(291/3 769), of which 97.3%(283/291) were in sheep. The antigen positive rate in dog feces was 3.3%(74/2 219).

CONCLUSION

The morbidity(1.1%) was highest in Ulugqat County and the antibody positive rate(4.9%) in children was highest in Artux City. Infection was found in livestock and dogs.

摘要

目的

了解新疆克孜勒苏柯尔克孜自治州(简称克州)棘球蚴病的流行现状及特征,为棘球蚴病的防治提供依据。

方法

2011 - 2012年,从乌恰县、阿图什市、阿克陶县和阿合奇县农牧业区的19个乡镇中选取62个村作为调查点,对调查点内全部居民进行腹部超声检查,以检测棘球蚴病的发病情况;采用酶联免疫吸附试验(ELISA)检测6 - 12岁儿童血清棘球蚴病特异性抗体以及新鲜采集的犬粪便中细粒棘球绦虫抗原;对四个调查点屠宰场牲畜脏器中的棘球蚴囊肿进行触诊和肉眼观察。

结果

共对12 000名居民进行了超声检查,其中60人棘球蚴病(细粒棘球蚴病)检查阳性,患病率为0.5%(60/12 000)。乌恰县患病率为1.1%(35/3 200),显著高于阿图什市(0.5%,13/2 400)、阿克陶县(0.2%,8/3 200)和阿合奇县(0.1%,4/3 200)(χ2 = 4.92 - 24.79,P < 0.05)。≥71岁居民患病率最高(1.2%,4/323),其次为0 - 10岁年龄组(0.9%,3/350),各年龄组间差异无统计学意义(χ2 = 0.39 - 3.31,P>0.05)。儿童血清抗体阳性率为3.1%(230/7 338),阿图什市最高(4.9%,89/1 828),与阿克陶县(2.9%,56/1 927)和阿合奇县(0.7%,11/1 639)相比差异有统计学意义(χ2 = 9.71,54.34,P < 0.05)。牲畜棘球蚴囊肿检出率为7.7%(291/3 769),其中97.3%(283/291)为绵羊。犬粪便抗原阳性率为3.3%(74/2 219)。

结论

乌恰县患病率最高(1.1%),阿图什市儿童抗体阳性率最高(4.9%)。牲畜和犬均有感染。

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