| 李晓琴,王腊梅,温琪,肖丽娉.2001年--2020年江西省麻风病流行病学特征分析[J].实用中西医结合临床,2022,22(16): |
| 2001年--2020年江西省麻风病流行病学特征分析 |
| Analysis of Epidemiological Characteristics of New Leprosy Cases Ｒeported in Jiangxi province，2006 － 2015 |
| 投稿时间：2022-09-20 修订日期：2022-10-14 |
| DOI： |
| 中文关键词: 麻风病 新发现病例 流行病学 江西省 |
| 英文关键词: Leprosy Newly detected leprosy cases Epidemiology Jiangxi |
| 基金项目: |
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| 摘要点击次数: 193 |
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| 中文摘要: |
| 目的：通过对2001-2020 年江西省麻风病例进行流行特征及防治效果分析，为完善我省防治策略提供依据。方法： 收集江西省辖区2001-2020年所有新发现麻风病例，对其流行特征进行回顾性分析。结果：2001-2020年江西省新发现麻风病例801例，发现率从2001年的0.1171/10万下降至2020年的0.0173/10万、下降了85.23%，年均下降了4.26%；主要分布在赣州市、吉安市，占全省的62.55%；15例儿童病例，最小者为4岁；男女比为2.87：1；职业以农民为主，占到83.65%；型别比为6.15:1；查菌阳性率67%；2级畸残病例163例，占比20.35%；以被动发现为主（82.77%）； 92例复发病例，其中联合化疗后复发36例，占到39.13%。2020年底现症病例92例，患病率从2001年的0.048/万下降至2020年的0.0199/万，下降了58.54%，年均下降了2.93%。至2020年底江西省患病率＞1/万县(区)数为零，患病率＞1/10万县(区)数为零。结论：江西省麻风病总体流行特征是下降趋势而且处于低流行状态，但是仍有儿童病例、2级畸残占比较高以及发现方式还是被动发现为主，提示对于家庭聚集性流行需要引起关注，并且需要增强以麻风可疑症状监测为主的早期发现措施，因地制宜的进行宣传，力争主动发现，从而进一步消除麻风危害目标。 |
| 英文摘要: |
| Objective To analyze the epidemiological characteristics and control effects of leprosy in Jiangxi Province from 2001 to 2020, so as to provide a basis for improving the prevention and control strategies in Jiangxi province. Methods: All newly detected leprosy cases in Jiangxi Province from 2001 to 2020 were collected and the epidemiological characteristics were retrospectively analyzed. Results: From 2001 to 2020, 801 new leprosy cases were detected in Jiangxi Province, and the detection rate decreased from 0.1171/100 000 in 2001 to 0.0173/100 000 in 2020, a decrease of 85.23%, with an average annual decrease of 4.26%. Mainly distributed in Ganzhou City, Ji "an city, accounting for 62.55% of the province; There were 15 cases in children, the youngest was 4 years old; The ratio of male to female was 2.87:1; Occupation is mainly farmers, accounting for 83.65%; Type ratio was 6.15:1; The positive rate was 67%. There were 163 cases of grade 2 deformity, accounting for 20.35%. Passive discovery was the main factor (82.77%); Among 92 recurrent cases, 36 (39.13%) relapsed after combined chemotherapy. By the end of 2020, there were 92 existing cases, and the prevalence rate decreased from 0.048/10 000 in 2001 to 0.0199/10 000 in 2020, a decrease of 58.54%, with an average annual decrease of 2.93%. By the end of 2020, the number of counties (districts) with prevalence > 1/10 000 was zero, and the number of counties (districts) with prevalence > 1/100 000 was zero. Conclusion: The epidemic characteristics of leprosy in Jiangxi Province showed a downward trend and remained at a low prevalence. Given that there were still cases in children and the high number of grade 2 malformation, And the discovery method is still passive discovery. It is suggested that attention should be paid to the family cluster epidemic, and early detection measures should be strengthened to monitor suspicious symptoms of leprosy, and publicity efforts should be strengthened to proactively detect leprosy, so as to further eliminate the harm target of leprosy. |
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