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[四川省当前血吸虫病病例调查]

[Investigation on current schistosomiasis cases in Sichuan Province].

作者信息

Yi Zhang, Yu Zhang, Jia Xu, Zi-Song Wu, Yang Liu, Bo Zhong

机构信息

Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2019 Aug 13;31(3):264-268. doi: 10.16250/j.32.1374.2019066.

DOI:10.16250/j.32.1374.2019066
PMID:31544404
Abstract

OBJECTIVE

To understand the status of current schistosomiasis patients after the interruption of schistosomiasis transmission in Sichuan Province, so as to provide the reference for the development of specific rescue and treatment schemes and the implementation of dynamic management of the patients.

METHODS

The information of registered schistosomiasis patients in disease control and prevention institutions and medical institutions were reviewed in all schistosomiasis-endemic counties (districts) across Sichuan Province in 2018, and the data of all newly discovered schistosomiasis patients were collected and analyzed.

RESULTS

A total of 1 558 current schistosomiasis cases were diagnosed in 11 endemic cities (prefectures) across Sichuan Province, and all were advanced cases. Megalosplenia and ascites were the predominant types of advanced schistosomiasis cases, and no age- ( = 16.723, > 0.05) or gender-specific difference ( = 2.493, > 0.05) was seen in the clinical types of current schistosomiasis cases. There were 9.3% of current schistosomiasis patients from poor households. There was a tendency towards a decline in the number of advanced schistosomiasis cases since 2012, and the number of schistosomiasis cases in 2018 reduced by 17.8% as compared to that in 2012.

CONCLUSIONS

Currently, all current schistosomiasis patients are advanced cases in Sichuan Province. In the future, multidisciplinary collaboration should be implemented to search for a feasible financial subsidy pattern and establish an effective care system for advanced schistosomiasis patients.

摘要

目的

了解四川省血吸虫病传播阻断后现症血吸虫病患者状况,为制定针对性救治方案及实施患者动态管理提供参考。

方法

查阅2018年四川省所有血吸虫病流行县(区)疾病预防控制机构和医疗机构登记的血吸虫病患者信息,收集并分析所有新发现血吸虫病患者的数据。

结果

四川省11个流行市(州)共诊断出1558例现症血吸虫病病例,均为晚期病例。巨脾型和腹水型是晚期血吸虫病病例的主要类型,现症血吸虫病病例的临床类型在年龄方面无差异(χ² = 16.723,P > 0.05),在性别方面也无差异(χ² = 2.493,P > 0.05)。现症血吸虫病患者中有9.3%来自贫困户。自2012年以来晚期血吸虫病病例数呈下降趋势,2018年血吸虫病病例数较2012年减少了17.8%。

结论

目前四川省现症血吸虫病患者均为晚期病例。今后应开展多学科协作,探索可行的财政补贴模式,建立有效的晚期血吸虫病患者关爱体系。

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