中国血吸虫病防治杂志 ›› 2021, Vol. 33 ›› Issue (1): 40-.

• 论著 • 上一篇    下一篇

2012—2018年内蒙古自治区犬棘球绦虫感染空间分布特征

王玉莹1△,郝慧霞2△,宋健3,郭卫东3*,姜晓峰3*   

  1. 1包头医学院(包头014000);2内蒙古自治区呼和浩特市第二医院皮肤性病科; 3内蒙古自治区综合疾病预防控制中心
  • 出版日期:2021-02-10 发布日期:2021-02-10
  • 作者简介:王玉莹,女,硕士研究生。研究方向:传染病预防与控制 郝慧霞,女,硕士,副主任医师。研究方向:皮肤性病学与传染病诊断
  • 基金资助:
    国家科技重大专项(2017ZX10103006?003、2018ZX10101002?001?009);内蒙古自治区卫生计生委卫生计生科研计划(201701034);内蒙古自治区应用技术研究与开发资金计划项目

Spatial distribution of canine echinococcosis in Inner Mongolia Autonomous Region from 2012 to 2018

WANG Yu-Ying1△, HAO Hui-Xia2△, SONG Jian3, GUO Wei-Dong3*, JIANG Xiao-Feng3*   

  1. 1 Baotou Medical College, Baotou 014000, China; 2 Department of Dermatology and Sexually Transmitted Diseases, The Second Hospital of Hohhot, China; 3 Inner Mongolia Integrated Disease Control and Prevention Center, China
  • Online:2021-02-10 Published:2021-02-10

摘要: 目的 了解2012—2018年内蒙古自治区犬棘球绦虫感染分布规律及变化趋势,为重点地区棘球蚴病防控提供参考依据。方法 收集2012—2018年内蒙古自治区棘球蚴病流行区犬粪棘球绦虫感染数据和人群棘球蚴病抽样调查数据,对犬棘球绦虫感染率及人群棘球蚴病患病率进行分析;采用空间自相关分析方法对犬棘球绦虫感染空间分布特征及聚集性进行分析。结果 2012—2018年,内蒙古自治区棘球蚴病流行区共检测犬粪164 139份,其中犬棘球绦虫粪抗原阳性2 136份,逐年犬棘球绦虫粪抗原阳性率为0.54% ~ 1.73%,且呈下降趋势([χ2] = 108.83,P < 0.01),各年间差异有统计学意义([χ2] = 155.27,P < 0.01)。三维趋势图显示,犬棘球绦虫感染主要集中在内蒙古自治区中部偏东区域,感染率较高区域为新巴尔虎右旗和苏尼特右旗。2012—2018年内蒙古自治区犬棘球绦虫感染全局空间分布关系属于随机模式(Moran’s I > 0,P > 0.05),局部区域存在“高?高”和“高?低”2种聚集形式。2012—2018年,内蒙古自治区人群棘球蚴病患病率为0.08%,各旗(县、市、区)人群棘球蚴病患病率差异有统计学意义([χ2] = 147.61,P < 0.01),患病率较高的地区主要集中在西乌珠穆沁旗、扎鲁特旗和新巴尔虎右旗。人群棘球蚴病患病率与犬棘球绦虫粪抗原阳性率呈正相关(r = 0.52,P < 0.01)。结论 2012—2018年内蒙古自治区犬棘球绦虫感染率总体呈下降趋势,感染率较高地区主要集中在新巴尔虎右旗及苏尼特右旗。犬棘球绦虫感染集中的地区人群棘球蚴病患病率亦较高,今后应加强该类地区棘球蚴病健康教育并落实有针对性的防控措施。

关键词: 犬棘球蚴病, 空间分布, 内蒙古自治区

Abstract: Objective To investigate the distribution and changing trend of canine echinococcosis in Inner Mongolia Autonomous Region, so as to provide the scientific evidence for prevention and control of canine echinococcosis in high?risk areas of Inner Mongolia Autonomous Region. Methods All data pertaining to Echinococcus infections in canine feces and sampling survey of human echinococcosis were collected from the echinococcosis?endemic foci of Inner Mongolia Autonomous Region from 2012 to 2018, and the prevalence of Echinococcus infections was investigated in dogs and humans. In addition, the spatial distribution characteristics and clusters of canine echinococcoses were identified. Results A total of 164 139 canine fecal samples were detected in the echinococcosis?endemic foci of Inner Mongolia Autonomous Region from 2012 to 2018, and there were 2 136 fecal samples positive for Echinococcus coproantigens. The positive rates of Echinococcus coproantigens were 0.54% to 1.73% in dogs from 2012 to 2018, with a tendency towards a decline seen in the prevalence of Echinococcus infections in dogs ([χ2] = 108.83, P < 0.01), and there was a significant difference in the positive rate of Echinococcus coproantigens in dogs among years ([χ2] = 155.27, P < 0.01). Three?dimensional trend analysis showed that canine echinococcosis was mainly concentrated in east of central Inner Mongolia Autonomous Region, and a high prevalence was detected in New Barag Right Banner and Sonid Right Banner. The global spatial distribution of canine echinococcosis appeared a random pattern in Inner Mongolia Autonomous Region from 2012 to 2018 (Moran’s I > 0, P > 0.05), and there were “high?high” and “high?low” clusters of canine echinococcosis in local areas. The prevalence of human echinococcosis was 0.08%, and there was a significant difference in the prevalence among regions ([χ2] = 147.61, P < 0.01), with a high prevalence seen in West Ujimqin Banner, Jarud Banner and New Barag Right Banner. In addition, the prevalence of human echinococcosis correlated positively with the Echinococcus coproantigen?positive rate in dogs (r = 0.52, P < 0.01). Conclusions The prevalence of Echinococcus infections shows an overall tendency towards a decline in dogs in Inner Mongolia Autonomous Region from 2012 to 2018, with a high prevalence found in New Barag Right Banner and Sonid Right Banner. Human echinococcosis is concentrated in clusters of canine echinococcosis, where health education and targeted control interventions requires to be intensified.

Key words: Canine echinococcosis, Space distribution, Inner Mongolia Autonomous Region

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