中国血吸虫病防治杂志 ›› 2018, Vol. 30 ›› Issue (3): 282-288.

• 论著 • 上一篇    下一篇

2008-2016年我国棘球蚴病死亡病例流行病学特征分析

田添|曹淳力|伍卫平|贾铁武|钱门宝|郝瑜婉|朱泽林|王强|李石柱|周晓农*   

  1. 中国疾病预防控制中心寄生虫病预防控制所、国家卫生和计划生育委员会寄生虫病原与媒介生物学重点实验室、WHO热带病合作中心、科技部国际热带病联合研究中心(上海200025)
  • 出版日期:2018-07-02 发布日期:2018-07-02
  • 通讯作者: 周晓农
  • 作者简介:田添|男|硕士研究生。研究方向:寄生虫病防治研究和项目管理
  • 基金资助:
    国家自然科学基金(81101280);上海市公共卫生三年行动计划项目(GWIV-29)

Epidemiological characteristics of echinococcosis death cases in China from 2008 to 2016

TIAN Tian| CAO Chun-li| WU Wei-ping| JIA Tie-wu| QIAN Men-bao| HAO Yu-wan| ZHU Ze-lin| WANG Qiang| LI Shi-zhu| ZHOU Xiao-nong*   

  1. National Institute of Parasitic Diseases| Chinese Center for Disease Control and Prevention; Key Laboratory of Parasite and Vector Biology| National Health and Family Planning Commission; WHO Collaborating Centre for Topical Diseases; National Center for International Research on Tropical Diseases| Ministry of Science and Technology| Shanghai 200025| China.
  • Online:2018-07-02 Published:2018-07-02
  • Contact: ZHOU Xiao?nong

摘要: 目的 了解2008-2016年全国棘球蚴病死亡病例流行病学特征,为实施预防控制棘球蚴病防治策略提供参考依据。方法 选取人口死亡信息登记管理系统资料,对2008-2016年全国棘球蚴病死亡病例进行描述流行病学分析。 结果 2008-2016年全国累计有367例棘球蚴病死亡病例报告,逐年死亡病例数分别为36、30、21、32、35、33、54、55、81例,年平均粗病死率为129.29/10万。棘球蚴病死亡病例平均年龄为(56 ± 18)岁;男女性别比为100∶94,差异无统计学意义([χ2] = 0.33,P > 0.05)。2008-2016年全国棘球蚴病死亡病例主要分布在流行省份的青海、四川、宁夏、新疆、甘肃、内蒙古、云南和非流行省份的黑龙江、江苏、河南、山东,累计报告死亡病例数居前11位的省份棘球蚴病死亡病例数占全国死亡病例总数的87.5%(321/367)。2008-2016年全国棘球蚴病死亡病例以汉族为主(52.0%),职业以农民为主(46.6%),文化程度以初中及以下为主(57.2%),最高诊断单位以省级或三级医院为主(46.6%),死亡地点以在家中为主(59.9%)。结论 全国棘球蚴病死亡病例数自2014年后呈逐年增加趋势,病死率上升的原因有待进一步研究。

关键词: 棘球蚴病;死亡病例;流行病学特征

Abstract:

Objective To understand the epidemiological characteristics of death cases of echinococcosis in China from 2008 to 2016, so as to provide an important reference for the prevention and control of echinococcosis. Methods The death information registration and management system data were selected to analyze the epidemiological characteristics of the death cases of echinococcosis. The data were analyzed by SPSS 21.0 and the map was drawn by ArcGIS 10.1 software. Results From 2008 to 2016, a total of 367 death cases of echinococcosis were reported in China, and the number of deaths in turn was 33, 30, 21, 32, 35, 54, 55,and 81 in each year, with an annual average crude mortality of 129.29 /105. The average age of death was (56 ± 18) years; the sex ratio of male to female was 100∶94. There was no statistical difference between the male and female death cases ([χ2] = 0.33, P > 0.05).The death cases of echinococcosis were mainly distributed in endemic areas of Qinghai, Sichuan, Ningxia, Xinjiang, Gansu, Inner Mongolia,Yunnan and non?endemic areas of Heilongjiang, Jiangsu, Henan and Shandong. The death cases in the first eleven provinces accounted for 87.5% (321/367) of the total death cases, among which the highest proportions of the nationality, occupation, educational level, highest diagnostic units, and the place of death were Han (52.0%, 191/367), farmer (46.6%, 171/367), junior high school or below (57.2%, 210/367), provincial or three?level hospitals (46.6%, 171/367), and at home (59.9%, 220/367). Conclusions Since 2014, the death cases of echinococcosis in China have been increasing year by year, indicating that the prevention and treatment of echinococcosis is still very serious. The causes for the rise of the fatality rate remain to be further studied.

Key words: Echinococcosis; Death case; Epidemiological characteristic

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