华南预防医学 ›› 2016, Vol. 42 ›› Issue (1): 37-41.doi: 10.13217/j.scjpm.2016.0037

• 论著 • 上一篇    下一篇

广东省2010年人体重点寄生虫感染现状调查和分析

裴福全,张贤昌,张启明,潘波,黄少玉,方悦怡,林荣幸,阮彩文,岑咏珍,卢文成,邓卓晖,林锦炎   

  1. 广东省疾控预防控制中心,广东 广州 511430
  • 收稿日期:2015-05-13 出版日期:2016-02-20 发布日期:2016-05-16
  • 通讯作者: 张贤昌 E-mail:cdczxc@163.com
  • 作者简介:裴福全(1969—),男,硕士研究生,主任医师,主要从事寄生虫病防治与研究工作

Infection status of key human parasites in Guangdong Province, 2010

PEI Fu-quan, ZHANG Xian-chang, ZHANG Qi-ming,PAN Bo, HUANG Shao-yu, FANG Yue-yi, LIN Rong-xing, RUAN Cai-wen, CEN Yong-zhen, LU Wen-cheng, DENG Zhuo-hui, LIN Jin-yan   

  1. Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China
  • Received:2015-05-13 Online:2016-02-20 Published:2016-05-16

摘要: 目的了解和分析广东省人体重点寄生虫感染状况及分布特征。方法2010年在广东省分不同地理、经济情况分层整群随机抽取14个县(市、区)70个调查点,调查人体土源性线虫及华支睾吸虫感染情况。采用改良加藤厚涂片法粪检蛔虫、钩虫、鞭虫、华支睾吸虫等4种肠道蠕虫卵,并根据克粪虫卵数划分感染度。采用透明胶纸肛拭法检查儿童蛲虫感染情况。结果粪检14 633人,4种寄生虫虫卵总阳性率为10.27%,其中蛔虫、钩虫、鞭虫、华支睾吸虫虫卵的阳性率分别为0.44%、3.11%、0.86%、6.19%。肛拭法检查14岁及以下儿童15 176人,阳性率为20.08%。5种寄生虫阳性率在不同地理片区之间的差异均具有统计学意义(P<0.05或P<0.01);蛔虫、鞭虫、华支睾吸虫和蛲虫阳性率在不同经济水平地区之间,钩虫和华支睾吸虫阳性率在不同年龄、性别及职业人群之间,蛲虫阳性率在不同年龄组之间差异均有统计学意义(P<0.05或P<0.01)。结论广东省华支睾吸虫、钩虫的人群感染率以及儿童蛲虫感染率仍然处于较高水平,蛔虫、鞭虫的人群感染率较低,部分寄生虫的感染情况在不同特征人群之间差异明显。须进一步加强华支睾吸虫、蛲虫及钩虫感染的人群防治工作,并对不同虫种的高发、高危人群制定针对性的防控措施。

Abstract: ObjectiveTo analyze the infection status of key human parasites in Guangdong Province. MethodsIn accordance with the Survey Program of Infection Status of Key Human Parasitic Diseases issued by the Department of Health of Guangdong Province, 70 survey sites in 14 counties/cities/districts were sampled in Guangdong Province based on different geographic and economic situations, to investigate the human soil-borne nematodes and Clonorchis sinensis in 2010. Modified Kato-Katz thick smear method was used to detect intestinal worm eggs quantitatively and qualitatively. Children were examined by cellophane anal swab method. ResultsA total of 14 633 persons were examined by Modified Kato-Katz thick smear method and the total infection rate of the four species of parasites was 10.27%. The infection rates of ascaris, hookworm, trichuris and Clonorchis sinensis were 0.44%, 3.11%, 0.86%, and 6.19%, respectively. A total of 15 176 children aged 14 years and below were examined using the cellophane anal swab method. Of them, 3 048 cases (20.08%) were found to be infected with pinworm. The differences of positive rates of the 5 parasites among different geographical regions were statistically significant (P<0.05 or P<0.01). The positive rates of ascaris, trichuris, Clonorchis sinensis and pinworm among the regions in different economic levels, the positive rates of hookworm and Clonorchis sinensis among the populations with different ages, sexes and occupations, and the pinworm positive rates among different age groups, were all statistical difference (P<0.05 or P<0.01). ConclusionIn Guangdong Province, the infection rates of Clonorchis sinensis and hookworm in the population and that of pinworm in the children were still at relatively high level, but the crude infection rates of ascaris and trichuris were low. The characteristics of parasitic infections were significantly different among the different groups. The control measures should be made out for the high risk group of population according to different species of parasites.

中图分类号: 

  • R183.5