Abstract: Objective To evaluate the effect of integrated control measures on soil?transmitted nematodiasis so as to provide the evidence for formulating the appropriate control strategies and measures in Jinhu County，Jiangsu Province. Methods Since 1995，the comprehensive control measures were carried out for soil?transmitted nematodiasis，and the measures included deworm? ing，health education，safe water，sanitation and environmental remediation. The effects of the comprehensive control measures were evaluated by the investigations of the prevalence of soil?transmitted nematodiasis，awareness of health knowledge，and behav? iors of residents. Results From 1995 to 2012，646 437 person ? times were administrated in deworming medication with 2.48 times per capita；the benefit rate of safe water was 97.90%；the popularity rate of harmless toilets was 86.89%. The awareness rate of health knowledge increased from 54.05% in 1996 to 95.60% in 2012， the difference between them were statistically significant （χ2 ＝230.92， P＜0.01）；the rate of correct health behaviors increased from 59.07% in 1996 to 96.40% in 2012， the difference between them had statistical significance （χ2 ＝202.69， P＜0.01） . The prevalence of soil?transmitted nematodiasis decreased from 62.57% in 1989 to 1.21% in 2012， the difference had statistical significance （χ2 ＝1 016.92， P＜0.01） . The infection rates of Asca? ris lumbricodes，hookworm and Trichuris trichiura were 0.58%，1.12% and 0，respectively in 2012，and compared with the rates of those infections in 1989，the decline rates were 94.96%，97.28% and 100% respectively， the differences between them were sta? tistically significant （χ2 A sc aris ＝129.50，χ2 hookworm ＝544.62，χ2 Tri ch uris ＝254.19， all P＜0.01） . Conclusion The comprehensive control strategies and measures are effective and soil?transmitted nematodiasis has been controlled in Jinhu County.

Key words: Soil?transmitted nematodiasis； Integrated control；Evaluation

摘要： 目的 目的 评价金湖县土源性线虫病综合防治效果， 为制定防治策略和措施提供依据。方法 方法 1995年起， 采取药物 驱虫、 健康教育、 改水改厕与环境整治等措施， 对土源性线虫病进行综合干预。通过居民土源性线虫感染率、 卫生知识知 晓率和卫生行为正确率等指标评价综合防治效果。结果 结果 1995-2012年， 全县共完成驱虫服药646 437人次， 人均服药 2.48次。自来水受益率97.90%， 农村无害化卫生厕所普及率达86.89%。居民卫生知识知晓率由1996年的54.05%上升至 95.60%， 差异有统计学意义 （χ2 ＝230.92， P＜0.01）， 卫生行为正确率由1996年的59.07%上升至96.40%， 差异有统计学意 义 （χ2 ＝202.69， P＜0.01）。2012年土源性线虫感染率为1.21%， 较1989年的62.57%下降了98.07%， 差异有统计学意义 （χ2 ＝1 016.92， P＜0.01）。蛔虫、 钩虫、 鞭虫感染率分别为0.58%、 1.12%、 0， 较1989年分别下降了94.96%、 97.28%、 100%， 差异均有统计学意义 （χ2 蛔 ＝129.50，χ2 钩 ＝544.62，χ2 鞭 ＝254.19， P均＜0.01）。结论 结论 金湖县通过实施综合防治策略和 相关措施， 有效控制了土源性线虫病的流行。

关键词: 土源性线虫病； 综合防治； 效果评价