2005—2020年新疆伊犁州棘球蚴病流行病学特征分析

doi:10.12140/j.issn.1000-7423.2022.02.020

摘要/Abstract

摘要：

为了解2005—2020年新疆伊犁州棘球蚴病流行特征和状况,收集国家传染病报告信息管理系统中2005—2020年新疆伊犁州棘球蚴病病例数据,并进行描述性流行病学分析。结果显示,2005—2020年伊犁州累计报告棘球蚴病病例4 612例,年平均发病率为9.92/10万;2017年报告例数达到峰值,此后又逐年下降,发病无明显季节性。伊犁州11个县（市）均有病例报告,其中发病率最高的前3位为察布查尔锡伯自治县（20.96/10万）、昭苏县（19.94/10万)、尼勒克县（16.61/10万）。报告病例中男性2 488例,年平均发病率10.46/10万;女性2 124例,年平均发病率9.27/10万;男女年平均发病率差异无统计学意义（χ² = 1.063,P > 0.05)。患者平均年龄39岁,主要集中在20~59岁年龄组,占总病例数的75.1%（3 462例）;职业以农牧民为主,占总病例数的63.1%（2 909例）。提示新疆伊犁州棘球蚴病流行范围广,涉及人群多,建议结合当地实际制定科学有效的防控措施,控制棘球蚴病的流行。

关键词: 棘球蚴病, 流行特征, 伊犁州

Abstract:

In order to understand the epidemiologic characteristics and status of echinococcosis in Yili Prefecture of Xinjiang Uygur Autonomous Region from 2005 to 2020. Data from Echinococcus cases in Yili Prefecture of Xinjiang during 2005 and 2020 were collected from National Infectious Disease Reporting Information Management System and analyzed using descriptive epidemiology approaches. The results showed that 4 612 echinococcosis cases were reported in Yili Prefecture from 2005 to 2020. The average annual incidence rate was 9.92/100 000. The number of reported cases peaked in 2017, followed by a decline annually, with no significant seasonal patterns. Cases were reported in all 11 counties (cities) of Yili Prefecture. Chabuchaerxibo Autonomous Country (20.96/100 000), Zhaosu County (19.94/100 000) and Nileke County (16.61/100 000) had the highest incidence rate. Of all the reported cases, 2 488 cases were male, with an average annual incidence of 10.46/100 000; 2 124 cases were female, with an average annual incidence of 9.27/100 000. There was no significant difference in annual incidence between males and females (χ² = 1.063, P > 0.05). The average age of the reported echinococcosis patients was 39 years, while the majority of the cases were aged between 20 and 59, accounting for 75.1% (3 462 cases) of the total cases. The occupation was mainly farmers and herdsmen, accounting for 63.1% (2 909 cases) of the cases. It is suggested that the prevalence of echinococcosis in Yili Prefecture of Xinjiang is high, affecting a large number of people suggesting the need for developing science-based and effective prevention approaches that are suitable for controlling the transmission of echinococcosis.

Key words: Echinococcosis, Epidemic characteristics, Yili Prefecture

中图分类号:

R532.32

王蒴, 翟啸虎, 张海亭, 史光忠, 杨涵琪, 程侠, 买买提江·吾买尔, 赵江山. 2005—2020年新疆伊犁州棘球蚴病流行病学特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(2): 256-260.

WANG Shuo, ZHAI Xiao-hu, ZHANG Hai-ting, SHI Guang-zhong, YANG Han-qi, CHEN Xia, MAIMAITIJIANG Wumaier, ZHAO Jiang-shan. Epidemiological characteristics of echinococcosis in Yili Prefecture of Xinjiang from 2005 to 2020[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2022, 40(2): 256-260.

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年龄组	男性		女性		合计
年龄组	病例数	构成比/%	病例数	构成比/%	病例数	构成比/%
0~9	146	5.8	98	4.6	244	5.3
10~19	207	8.3	137	6.5	344	7.5
20~29	371	14.9	339	16.0	710	15.4
30~39	582	23.4	468	22.0	1 050	22.8
40~49	516	20.7	465	21.9	981	21.3
50~59	371	14.9	350	16.5	721	15.6
60~69	201	8.1	197	9.3	398	8.6
70~79	84	3.4	58	2.7	142	3.1
80~89	10	0.4	12	0.6	22	0.5
合计	2 488	100	2 124	100	4 612	100