标题：普洱市居民土源性线虫感染现状调查分析

      作者：杨华 1，杨华智 1，许海兵 1，杜尊伟 2，姜进勇 2，王兴荣 1
    (1.普洱市疾病预防控制中心公共卫生科，云南 普洱 665000；
2.云南省寄生虫防治所，云南 普洱 665000)

      卷次： 2016年27卷4期

      【摘要】 目的 了解普洱市居民重要肠道寄生虫感染情况，为科学防治提供依据。方法 用改良加藤法、肛
周透明胶纸拭擦法对居民进行粪便检查以了解土源线性虫感染情况。采用问卷调查并分析居民健康知识知晓情
况、卫生行为和卫生习惯与肠道寄生虫感染的关系。结果 检测 5 070人，感染土源线性虫 985人，总感染率为
19.4%，各调查县(区)总感染率为 7.7%~28.8%。其中感染钩虫 874人，感染率为 17.2%；感染蛔虫 93人，感染率为
1.8%；感染鞭虫52人，感染率为1.0%；感染蛲虫4人，感染率为0.4%，混合感染少见。结论 普洱市居民土源线性
虫感染率低于全省2004年寄生虫现状调查时的水平，但拉祜族钩虫感染率高于全国重要寄生虫病流行现状调查时
的水平。感染度均为轻度感染，人群普遍易感。应当对普洱市重点地区和重点人群采取药物驱虫为主，推广建设
和使用无害化厕所，加强农村安全饮用水改造，改善居住条件等综合防治措施，降低土源线性虫感染率。

      【关键词】 普洱市；土源线性虫；感染率；感染度；调查

      【中图分类号】 R195 【文献标识码】 D 【文章编号】 1003—6350（2016）04—0671—04


Investigation and analysis on prevalence of geohelminthes infections in Puer City, Yunnan Province, CHINA.
YANG Hua 1, YANG Hua-zhi 1, XU Hai-bin 1, DU Zun-wei 2, JIANG Jing-yong 2, WANG Xing-rong 1.
1. Department of
Public Health, Puer City Center for Disease Control and Prevention, Puer 650000, Yunnan, CHINA; 2. Yunnan Institute of
Parasitic Diseases, Puer 665000, Yunnan, CHINA

【Abstract】 Objective In order to understand the prevalence of important intestinal parasitic infections among
residents of Puer City, and support evidence for scientific treatment and prevention. Methods Prevalence of geohel-
minthes was performed by modified Kato-Katz thick smears and adhesive tape wiping. Correlation between residents'
awareness of healthy knowledge, behaviors and habits was investigated and analyzed by questionnaires. Results A to-
tal of 5 070 residents were enrolled, and 985 were infected with geohelminthes, with the overall prevalence of 19.4% and
the prevalence in the areas investigated of 7.7%~28.8%. Moreover, 874 (17.2%), 93 (1.8%), 52 (1.0%), and 4 (0.4%) res-
idents were infected with hookworm, A. lumbricoides, T. trichiura, and pinworm, respectively. Multiple infections were
rare. Conclusion The overall prevalence of geohelminthes infections among residents of Puer City was lower than Yun-
nan Provincial level in parasitic baseline survey in 2004. However, prevalence of hookworm infections in Lahu ethnic
minority was higher than the level of national parasitic baseline survey in 2004. Intensities of geohelminthes infections
were relatively low. People were susceptible for geohelminthes infections. The results suggested that drugs as leading
control combined multiple control strategies should be carried out to decrease infection rate of geohelminthes. These
multi-strategies included construction of sanitary latrines, reforming safe water infrastruction and improving housing
conditions in rural areas.

      【Key words】 Puer City; Geohelminthes; Prevalence; Intensity; Investigation
·调查研究·
6350.2016.04.054