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2022年雅安市天全县土源性线虫感染现状调查

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目的 了解天全县土源性线虫感染现状,为制定防控策略提供依据.方法 2022年11月,按照四川省土源性线虫病监测方案和实施细则,采用分层整群随机抽样方法,将天全县监测点按地理方位划分为东、西、南、北、中5个片区,每片区随机抽取1个乡(镇)的1个行政村(新场镇前阳村、仁义镇老场村、城厢镇白石村、小河镇秋丰村、思经镇思经村)开展监测,每个行政村整群抽取3周岁以上常住居民至少200人,采集受检对象粪样,通过改良加藤厚涂片法(1粪2检)检测肠道蠕虫卵,3~9周岁儿童另采用透明胶纸肛拭法检测蛲虫卵.应用SPSS 23.0软件进行统计学分析,采用x2检验比较组间率的差异,检验水准α=0.05.结果 共调查1 020人,2022年天全县土源性线虫总感染率为5.20%(53/1 020).感染以轻度感染为主,占94.34%(50/53);检出钩虫、蛔虫、鞭虫等3种线虫,感染率分别为4.51%(46/1 020)、0.29%(3/1 020)和0.39%(4/1020);检出长膜壳绦虫1例.仁义镇土源性线虫感染率最高,为7.84%(16/204),思经镇次之,为7.58%(16/211),不同地区人群总感染率差异有统计学意义(x2=11.349,P=0.023).土源性线虫感染率人群分布中,女性(6.49%)高于男性(3.56%),差异有统计学意义(x2=4.399,P=0.036);各年龄组中80岁及以上组感染率最高,为8.11%(3/37);文化程度以文盲人群为主,感染率为8.05%(7/87);职业以幼托儿童和散居儿童感染率最高,为5.88%(2/34),农民感染率次之,为5.60%(47/839);不同年龄组、文化程度、职业人群感染率差异均无统计学意义(P均>0.05).结论 "4.20芦山地震"9年后雅安市天全县土源性线虫优势虫种顺位依次为钩虫、鞭虫、蛔虫,以轻度感染为主.仁义镇、思经镇是重点防治地区;女性、年龄较大者、文化程度偏低者是重点防治人群.长膜壳绦虫在天全县为首次检出,需引起关注和重视.
Survey of soil transmitted nematode infection in Tianquan County of Yaan in 2022
Objective To understand the current situation of soil transmitted nematode infection in Tianquan County,and to provide basis for formulating prevention and control strategies.Methods In November 2022,according to the monitoring plan and implementation rules of soil transmitted nematode disease in Sichuan Province,the monitoring points in Tianquan County were divided into five areas by geographical orientation,namely east,west,south,north and middle.Each area randomly selected one administrative village of one township(town)(Qianyang Village of Xinchang Town,Laochang Village of Renyi Town,Baishi Village of Chengxiang Town,Qiufeng Village of Xiaohe Town,Sijing Village of Sijing Town)for monitoring,in each administrative village,200 or more permanent residents over the age of 3 years old were selected as a group,and fecal samples were collected from the tested objects.Intestinal worm eggs were detected by the Kato technique(1 stool and 2 tests),and enterobius worm eggs were also detected by the transparent adhesive tape anal swab method for children aged 3 to 9 years old.SPSS 23.0 software was used for statistical analysis,x2 test was used to compare the difference between the groups,and the test level was α=0.05.Results A total of 1 020 people were investigated.In 2022,the total infection rate of soil transmitted nematodes in Tianquan County was 5.20%(53/1 020).The infection rate was mainly mild,accounting for 94.34%(50/53).Three kinds of nematodes were detected,including hookworm,roundworm,and whipworm.The infection rates were 4.51%(46/1 020),0.29%(3/1020),and 0.39%(4/1 020),respectively.One case of Taenia longum was detected.Renyi Town has the highest infection rate of soil borne nematodes at 7.84%(16/204),followed by Sijing Town at 7.58%(16/211),there was a statistically significant difference in infection rates among populations in different regions(x2=11.349,P=0.023).In the population distribution of soil borne nematode infection rate,females(6.49%)were higher than males(3.56%),with a statistically significant difference(x2=4.399,P=0.036).The infection rate in the 80 years old and above group was the highest among all age groups,at 8.11%(3/37).The education level was mainly among illiterate individuals,with an infection rate of 8.05%(7/87).The highest infection rate was found in preschool and scattered children,with 5.88%(2/34),followed by 5.60%(47/839)in farmers.There was no statistically significant difference in infection rates among different age groups,educational levels,and occupational groups(all P>0.5).Conclusions Nine years after the"4-20 April Lushan Earthquake",the dominant species of soil transmitted nematodes in Tianquan County,Yaan City are hookworm,whipworm,and roundworm,with mild infection as the main.Renyi Town and Sijing Town are the key areas for prevention and control.Women,older individuals,and those with lower education levels are the key populations for prevention and control.Hymenolepis is first detected in Tianquan County,which should be paid attention to.

earthquakesoil borne nematode diseaseinfection statusTianquan County

吴国林、山娟、田洪春、王秀丰、王维成、高琼

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雅安市第四人民医院,四川 雅安 625000

天全县疾病预防控制中心,四川 天全 625500

四川省疾病预防控制中心,成都 610041

地震 土源性线虫病 感染现状 天全县

2024

寄生虫病与感染性疾病
中华预防医学会 四川省疾病预防控制中心

寄生虫病与感染性疾病

影响因子:0.335
ISSN:1672-2116
年,卷(期):2024.22(1)
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