中国血吸虫病防治杂志 ›› 2015, Vol. 27 ›› Issue (6): 660-.DOI: 10.16250/j.32.1374.2015075

• 防治经验 • 上一篇    下一篇

江苏省涟水县慢性丝虫病患者现状观察

孙维新*   

  1. 江苏省涟水县疾病预防控制中心 (涟水 223400)
  • 出版日期:2015-12-22 发布日期:2015-12-22
  • 作者简介:孙维新| 男| 大专| 主管医师。研究方向: 寄生虫病防制

Current situation of patients with chronic filariasis in Lianshui County, Jiangsu Province

SUN Wei-xin*   

  1. Lianshui Center for Disease Control and Prevention| Jiangsu Province| Lianshui 223400| China
  • Online:2015-12-22 Published:2015-12-22

摘要: 目的 了解涟水县现存慢性丝虫病患者现状。方法 对登记在册的慢性丝虫病患者逐一进行走访,调查每名患者的临床体征及1年内病情发作情况。结果 截至2014年,涟水县现存慢性丝虫病患者361例,分布于23个乡(镇)。男性128例,女性233例,农民占98.34%,70岁及以上者占63.71%。患者临床体征包括下肢淋巴液肿、乳糜尿、淋巴管(结)炎和鞘膜积液,分别占87.81%、18.56%、12.74%、2.49%,同时兼有2种及以上体征者占8.86%。在下肢淋巴液肿中,Ⅰ~Ⅲ期占97.79%,Ⅳ期及以上占2.21%。2014年,28.36%的乳糜尿患者和45.65%的淋巴管(结)炎患者病情出现反复。结论 应继续积极开展慢性丝虫病患者的关怀和照料,以减轻其痛苦,提高生活质量。

关键词: 慢性丝虫病; 现状; 临床体征; 照料; 涟水县

Abstract: Objective To understand the current situation of chronic filariasis patients in Lianshui County. Methods The chronic filariasis patients registered were interviewed one by one to observe their clinical signs and episodes of illness during recent one year. Results There were 361 patients with chronic filariasis in Lianshui County up to 2014, and they distributed in 23 townships. Among all the patients, 128 were male and 233 were female. Most of the patients were farmers (98.34%) and aged ≥ 70 years (63.71%). The clinical signs of the patients including lymphedema of the lower limbs (87.81%), chyluria (18.56%), lymphangitis or lymphadenitis (12.74%) and hydrocele of tunica vaginalis (2.49%), and there were 8.86% of the patients showed more than two signs. Among the patients with lymphedema of lower limbs, 97.79% were in stage Ⅰ to Ⅲ, and 2.21% were in stage Ⅳ. In 2014, the ill condition of 28.36% of the patients with chyluria and 45.65% of the ones with lymphangitis or lymphadenitis relapsed. Conclusion The concern and care to the patients with chronic filariasis should be continued, so as to reduce the pain as well as improve the quality of life of them.

Key words: Chronic filariasis; Current situation; Clinical sign; Care; Lianshui County

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