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目的了解四川省汶川县人体肠道寄生虫病流行现状,掌握流行规律,为国家制订防治对策和评估规划提供科学依据。方法 2015年按照《四川省卫生计生委关于印发四川省人体全国重点寄生虫病现状调查实施方案的通知》的要求,根据整群分层抽样方法随机抽取3个村,每村调查250人,共计750人。结果检出2种肠道寄生虫,分别是蛔虫和鞭虫,感染蛔虫21人,感染率为2.8%;感染鞭虫12人,感染率为1.6%;同时感染蛔虫和鞭虫3人,感染率为0.4%;调查男性325人,感染率为2.15%;调查女性425人,感染率为5.41%(χ~2=5.09,P<0.05);高半山村调查250人,感染率9.6%;河坝村调查500人,感染率为1.8%(χ~2=24.106,P<0.05)。结论汶川县属于人体肠道寄生虫病流行Ⅲ类地区,高半山村感染率高于河坝村,女性感染率高于男性,今后防控工作重点在于高半山村的监测,同时加强健康教育宣传工作,宣传工作要侧重农村高半山村人群和农村妇女,引导居民自愿查病驱虫。
Objective To understand the prevalence of human intestinal parasitic diseases in Wenchuan County, Sichuan Province, and to grasp the epidemic rules and provide a scientific basis for the country to formulate prevention and control measures and assessment plans. Methods According to the requirements of Sichuan Provincial Health and Family Planning Commission on Printing and Distributing the Implementation Plan of Investigation on Present Situation of Human Parasitic Diseases in Sichuan Province, 2015, three villages were randomly selected according to cluster stratified sampling method, and 250 were surveyed per village, totaling 750 people. Results Two kinds of intestinal parasites were detected, which were roundworm and whipworm, 21 were infected with roundworm, the infection rate was 2.8%. Twelve parasites were infected with the infection rate of 1.6%. Three roundworms and whipworms were also infected The prevalence rate was 0.4%; 325 males were surveyed and the infection rate was 2.15%; 425 females were surveyed, the infection rate was 5.41% (χ ~ 2 = 5.09, P <0.05) Heba village survey 500 people, the infection rate was 1.8% (χ ~ 2 = 24.106, P <0.05). Conclusions Wenchuan County belongs to Class Ⅲ area of human intestinal parasitic disease. The infection rate in Gaobeishan Village is higher than that in Heba Village. The female infection rate is higher than that of males. The focus of prevention and control in the future is monitoring of Gaobeishan Village, and strengthening publicity of health education Work, publicity work should focus on the rural high mountain village and rural women, to guide residents to voluntarily check the disease deworming.