中国和蒙古两个蒙古族聚居区的包虫病流行病学调查
Human cystic echinococcosis in two Mongolian communities in Hobukesar (China) and Bulgan (Mongolia)
张文斌 1许新才 1何铁汉 1李涛 1文西年 1肖开提·阿不都卡德尔 1赵晋明 1王云海1
作者信息
- 1. 新疆医科大学第一附属医院胃肠外科,新疆乌鲁木齐,830054
- 折叠
摘要
目的:调查人囊型包虫病(CE)在蒙古布尔根地区和中国西北新疆的两个社区发病率.方法:于1995/2000年期间对布尔根(蒙古)及和布克赛尔(中国新疆)的两个民族构成类似的社区开展调查.结果:人囊型肝包虫病在两个社区的发病率有显著不同.在和布克赛尔超声诊断率为2.7%(49/1844).在布尔根超声诊断率为0.2%(4/1609)(P<0.01).对狗的研究显示两地棘球蚴抗体阳性和蠕虫感染率类似,即和布克赛尔为35.0%,布尔根为35.7%.对可能影响两地不同患病率的相关危险因素的研究发现:和布克赛尔牧民及农民所占的比例(48.5%)要显著高于布尔根(9.6%).在饲养狗和牲畜的比例方面,和布克赛尔(56%)也要显著高于布尔根(25%～27%).家庭屠宰牲畜的比例和布克赛尔(78.9%)同样显著高于布尔根(28.1%).结论:蒙古布尔根地区人囊性棘球蚴病感染率低的原因,与两地饲养狗的比例有关.
Abstract
AIM: To investigate the prevalence of human cystic echinococcosis ( CE) in traditional Mongolian communities in western Mongolia and Xinjiang (northwest China). METHODS: Studies were carried out between 1995 and 2000 on two ethnically identical populations in Hobukesar ( China) and Bulgan ( Mongolia) . RESULTS: The prevalence of human hepatic CE in the two communities was significantly different. In Hobukesar, human CE prevalence by ultrasound was 2.7% (49/1844) , while in Bulgan, it was 0. 2% (4/1609 ) (P < 0. 001). Surveys on dogs showed that coproantigen positivity rates or dog necropsy positivity rates were similar in both communities (35. 0% in Hobukesar and 35. 7% in Bulgan). But the proportions of herdsmen or farmers, dog ownership and livestock ownership, and families practicing home slaughter recorded in Hobukesar (48. 5% , 56% and 78. 9% , respectively) were significantly higher than those record in Bulgan (9.6% , 25-27% and 28.1% , respectively). CONCLUSION: The lower proportion of dog ownership may explain the lower prevalence of human CE in the Bulgan population.
关键词
棘球蚴病/超声检查/血清学/蒙古/中国Key words
echinococcosis/ultrasonography/serology/Mongolia/China引用本文复制引用
出版年
2009
NETL
NSTL
维普
万方数据