中国血吸虫病防治杂志 ›› 2018, Vol. 30 ›› Issue (5): 567-570,580.

• 防治研究 • 上一篇    下一篇

武汉市江夏区山坡街道农村居民肠道寄生虫感染及其危险因素调查

熊受家1|2|刘镕1|钟沁萍1|宗红英1|姚万红1|董惠芬1*   

  1. 1武汉大学基础医学院人体寄生虫学教研室(武汉430071);2湖北省武汉市江夏区山坡中心卫生院
  • 出版日期:2018-12-01 发布日期:2018-12-01
  • 通讯作者: 董惠芬
  • 作者简介:熊受家|男|硕士|主治医师。研究方向:寄生虫病防治
  • 基金资助:
    湖北省高校省级教学研究项目(2016005);武汉大学教学改革建设项目(2016057);武汉大学医学部教学改革研究项目(2016002)

Investigation on intestinal nematode infections and their risk factors in Shanpo Sub-district, Jiangxia District, Wuhan City

XIONG Shou-jia1| 2| LIU Rong1| ZHONG Qin-ping1| ZONG Hong-ying1| YAO Wan-hong1| DONG Hui-fen1*   

  1. 1 Department of Human Parasitology, School of Basic Medical Sciences| Wuhan University| Wuhan 430071| China; 2 Shanpo Central Health Center| Jiangxia District| Wuhan City| China
  • Online:2018-12-01 Published:2018-12-01
  • Contact: DONG Hui?fen

摘要: 目的 了解武汉市江夏区山坡街道农村居民肠道线虫感染现况和危险因素,为制定有针对性的防治措施提供依据。 方法 按照《全国人体重点寄生虫病现状调查方案》要求,2014年10月于武汉市江夏区山坡街道随机选取农村居民检查粪便中蛔虫、钩虫和鞭虫虫卵,阳性粪便进行感染度评估。设计问卷,随机对9个村中的600名村民进行肠道寄生虫感染情况与危险因素调查。结果 对236名农村居民进行的粪检仅检获钩虫卵,阳性者18例,阳性率为7.63%。对600名居民进行肠道寄生虫感染情况及危险因素调查显示,疑似蛔虫感染、钩蚴性皮炎、钩虫感染和鞭虫感染者分别为397、355、295例和145例。Logistic 回归分析显示,居民疑似蛔虫感染的危险因素包括未坚持便后洗手、农家肥与化肥混合使用和干农活时不常穿鞋,保护因素包括知道蛔虫感染途径、不使用新鲜粪便施肥;疑似钩虫感染的危险因素包括饮用水源为井水和池塘水、捡食掉在地上的食物、农家肥与化肥混用、一块砧板切菜时不洗砧板,保护因素包括饮用水源为自来水和井水、知道蛔虫感染途径、有时用或不用新鲜粪便施肥;疑似鞭虫感染的危险因素有捡食掉在地上的食物。 结论 武汉市江夏区山坡街道农村居民钩虫感染率较高,并存在肠道寄生虫感染的危险因素。应加强开展健康教育工作,提高农村居民的自我防护意识;同时应定期检查,积极进行驱虫治疗,以有效控制肠道寄生虫病的传播与流行。

关键词: 肠道线虫;钩虫;危险因素;农村居民;江夏区

Abstract: Objective To investigate the infection status of intestinal nematodes and their risk factors in rural residents of Jiangxia District, Wuhan City, so as to provide the reference for the establishment of targeted prevention and control measures. Methods According to the requirements of cross?sectional study of the national human key parasitic diseases, the residents in Shanpo Sub?district, Jiangxia District were randomly selected as the objects for the investigation of the infection status of Ascaris lumbricoides, hookworm and Trichuris trichiura. A questionnaire survey was performed simultaneously. Results Totally 236 residents received the stool tests, and only the hookworm eggs were found, with an infection rate of 7.63% (18 cases). The survey of intestinal parasitic infection status and their risk factors in 600 residents found 397 cases of suspected roundworm infection, 355 cases of suspected hookworm larvae dermatitis, 295 cases of suspected hookworm infection, and 145 cases of suspected whipworm infection, respectively. The Logistic regression analysis found that the risk factors of suspected roundworm infection included not always washing hands after toilet, using manure and fertilizer, and not often wearing shoes when doing farm work; the protective factors included knowing how roundworm infection was gained, and not using fresh dung for fertilization. The risk factors of suspected hookworm infection included using well water and pond water as the source of drinking water, eating food off the ground, using manure and fertilizers, and not washing when there was only one cutting board, and its protective factors included using tap water and well water as drinking water source, knowing how the roundworm infection was gained, and sometimes or not suing fresh feces for fertilization. The risk factors for suspected whipworm infection included eating food off the ground. Conclusions The intestinal parasite prevalence in the residents of the Shanpo Sub?district, Jiangxia District in Wuhan City is relatively high, and some risk factors associated with their infection indeed exist. Therefore, the regional government and health department should strengthen the health education to improve the residents’ knowledge about parasitic diseases and self?protection awareness. At the same time, the residents should take physical examination regularly and take necessary deworming treatment to effectively control the prevalence and spread of intestinal parasitic diseases.

Key words: Intestinal nematode; Hookworm; Risk factor; Rural resident; Jiangxia District

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