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中华民国金门岛乙胺嗪药盐消除丝虫病后临床表现的随访调查

Follow-up investigations on clinical manifestations after filariasis eradication by diethylcarbamazine medicated common salt on Kinmen (Quemoy) Islands, Republic of China.

作者信息

Fan P C, Peng H W, Chen C C

机构信息

Department of Parasitology, School of Medicine, National Yangming University, Taipei, Republic of China.

出版信息

J Trop Med Hyg. 1995 Dec;98(6):461-4.

PMID:8544232
Abstract

From May to December 1993, a house-by-house survey was conducted on the changes in clinical manifestations of filariasis among 814 pre-control mf carriers in 88 villages of five towns/districts on Kinmen Islands. Four hundred and sixteen (51%) pre-control mf carriers were examined physically with history taking. The rates of disappearance, improvement, no change, aggravation, and new occurrence were 72% (229), 6% (26), 14% (59), 6% (24) and 2% (8), respectively. The rates of disappearance and improvement were higher for the acute than for the chronic manifestations. However, these rates were also high for hydrocele and chyluria. These findings indicate that the acute manifestations disappear or greatly improve after filariasis eradication by a low dose of DEC medicated salt for a period of 6 months. However, the chronic ones remain unchanged or even aggravated to become one of the more important public health problems.

摘要

1993年5月至12月,对金门岛五个镇/区88个村庄的814名防治前微丝蚴携带者进行了逐户调查,以了解丝虫病临床表现的变化情况。对416名(51%)防治前微丝蚴携带者进行了体格检查并询问了病史。消失、改善、无变化、加重和新出现的比例分别为72%(229例)、6%(26例)、14%(59例)、6%(24例)和2%(8例)。急性表现的消失率和改善率高于慢性表现。然而,鞘膜积液和乳糜尿的这些比例也很高。这些结果表明,通过低剂量乙胺嗪药盐进行6个月的丝虫病根除后,急性表现消失或大幅改善。然而,慢性表现保持不变甚至加重,成为更重要的公共卫生问题之一。

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