Abstract: Objective To understand the prognosis of chronic filariasis patients who were nursed with the care methods rec? ommended by WHO in Jinshan District，Shanghai. Methods The chronic filariasis patients who were nursed with the care meth? ods recommended by WHO were followed up in Jinshan District from 2009 to 2011. The patients of Level 1 were followed up once a year；the patients of Level 2 and Level 3 were followed up twice a year. All the results were recorded into the standard question? naires and analyzed statistically. Results By the end of 2011，there were 264 chronic filariasis patients，including 106 males and 158 females. There were 201 patients aged between 70 and 85 years old，accounting for 76.14% of the patients. Lymphedema was the most common symptom in the patients and 76.51% of the patients had it. From 2009 to 2011，the conducting rates of sani? tary cleaning the limbs，elevation of the limbs，and exercises were 89.02%，83.71% and 72.08%，respectively. The improvement rates were 6.54%，10.95% and 14.77% each year，which had a statistically significant difference（χ2 =18.359，P＜0.01） . Con? clusion The care methods of chronic filariasis patients recommend by WHO really benefit the relief of lymphedema，and should be popularized.

Key words: Chronic filariasis；Lymphedema；Jinshan District

摘要： 目的 目的 了解金山区慢性丝虫病患者 （慢丝患者） 实施WHO推荐的慢丝患者照料方法后的病情变化。方法 方法 采用 分级随访， 1级患者1年随访1次， 2～3级患者1年随访2次； 并按照统一的随访表进行随访记录。对慢丝患者照料前、 后的 症状体征变化和疾病转归等进行对比分析。结果 结果 2011年底， 金山区有慢丝患者264例， 其中男性106例， 女性158例； 70～85岁201例， 占患者总数的76.14%。症状以淋巴水肿为主， 占76.51%。每天卫生清洗、 患肢抬高与锻炼患肢的最高比 例依次为89.02%、 83.71%和72.08%。3年好转率分别为6.54%、 10.95%和14.77%， 好转率逐年增加， 差异有统计学意义 （χ2 = 18.359， P＜ 0.01）。结论 结论 WHO推荐的慢丝患者照料方法具有缓解症状的作用， 应进一步推广并坚持使用。

关键词: 慢性丝虫病； 淋巴水肿； 金山区