中国寄生虫学与寄生虫病杂志

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2005-2013年新疆棘球蚴病手术病例回顾分析

伊斯拉音·乌斯曼,侯岩岩,赵江山,亚里坤·买买提依明   

  1. 新疆维吾尔自治区疾病预防控制中心,乌鲁木齐 830002
  • 出版日期:2014-10-30 发布日期:2015-01-06

Retrospective Analysis of Echinococcosis Surgerical Cases in Xinjiang From 2005 to 2013

Yisilayin OSMAN,HOU Yan-yan,ZHAO Jiang-shan,Yalikun MAMTIMIN   

  1. Center for Disease Control and Prevention of Xinjiang Uygur Autonomous Region,Urumqi 830002,China
  • Online:2014-10-30 Published:2015-01-06

摘要:

目的  回顾分析2005-2013年新疆人群棘球蚴病的手术病例情况,了解棘球蚴病的流行程度及范围。  方法  汇总2005-2013年新疆棘球蚴病手术病例资料,数据采用SPSS 17.0和Epi InFo 3.5.3软件进行分析。  结果  2005-2013年,新疆累计报告棘球蚴病手术病例8 639例,平均每年手术960例(8 639/9年),年手术病例患病率为4.40/10万(960/2 181万)。其中,北疆地区占82.8%(7 152/8 639),年患病率为7.59/10万(7 152/9/1 047万);南疆地区占17.2%(1 487/8 639),年患病率为1.58/10万(1 487/9/1 049万)。2005-2013年报告手术病例数呈逐年上升趋势,2013年报告手术病例数为1 434例,占累计报告手术病例数的16.6%(1 434/8 639),较2005年的373例(占4.3%,373/8 639)显著增加(P<0.05)。全疆14地(州、市)94个县(市、区)的农牧业区和城镇均有报告手术病例,主要分布在北疆的伊犁哈萨克自治州(2 028例)、塔城地区(1 218例)、昌吉回族自治州(1 179例)和乌鲁木齐市(1 128例),占总报告手术病例数64.3%(5 553/8 639)。其中,男性手术患者4 557例,占52.8%(4 557/8 639),女性患者4 082例,占47.3%(4 082/8 639)(P<0.05)。年龄最小的为11个月,最大者94岁,呈单峰曲线分布,主要集中在31~40岁年龄组,占26.2%(2 265/8 639)。农民居多,占47.9%(4 134/8 639)。  结论  2005-2013年新疆棘球蚴病手术病例数逐年增多,呈现由农牧区跨入城镇流行的趋势。

关键词: 棘球蚴病, 手术病例, 回顾分析, 新疆

Abstract:

Objective  To analyze the situation of echinococcosis surgerical cases in Xinjiang Uygur Autonomous Region from 2005 to 2013.  Methods  The surgery cases of echinococcosis in Xinjiang from 2005 to 2013 were collected, and analyzed with SPSS 17.0 and Epi Info 3.5.3 software.  Results  A total of 8 639 hydatid disease cases were reported during 2005-2013 from 94 counties (cities and districts) of 14 prefectures (municipalities) in the Region. The average number of annual operation cases were 960 cases(8 639/9 years), and the annual incidence was 4.40/100 000 (960/21.81 million). 82.8% (7 152/8 639) of report cases came from northern Xinjiang area with an incidence of 7.59/100 000, and 17.2% (1 487/8 639) distributed in southern Xinjiang area with an incidence of 1.58/100 000. There were 373 cases (4.4%, 373/8 639) reported in 2005, and increased to 1 434 cases (16.5% 1 434/8 639) in 2013(P<0.05). The cases mainly distributed in Yili Kazak Autonomous Prefecture (2 028 cases), Tarbagatai Prefecture (1 218 cases), Changji Hui Autonomous Prefecture (1 179 cases), and Urumqi City (1 128 cases) of the northern Xinjiang area. There were 4 557 male (52.8%, 4 557/8 639) and 4 082 famale patients (47.3%, 4 082/8 639)(P<0.05). The age distribution showed a single-peak curve, and more patients concentrated in the age group of 31-40 years, accounting for 26.2% (2 265/8 639). Among 8 639 cases, farmers accounted for 47.9% (4 134/8 639).  Conclusion  The number of surgical cases of echinococcosis increases every year in Xinjiang since 2005, and the distribution of the disease shows a trend from the agricultural and pastoral areas to the towns.

Key words: Echinococcosis, Surgical case, Retrospective analysis, Xinjiang