中国寄生虫学与寄生虫病杂志 ›› 2018, Vol. 36 ›› Issue (4): 330-332.

• 研究简报 • 上一篇    下一篇

2006-2016年百色市城区中小学生肠道线虫调查结果分析

邓积广1,*(), 余水兰1, 农智1, 杨益超2   

  1. 1 百色市疾病预防控制中心,百色 533000
    2 广西壮族自治区疾病预防控制中心,南宁 530028
  • 出版日期:2018-08-30 发布日期:2018-09-06
  • 通讯作者: 邓积广

A survey on intestinal nematodes in primary and middle school students in Baise City from 2006 to 2016

Ji-guang DENG1,*(), Shui-lan YU1, Zhi NONG1, Yi-chao YANG2   

  1. 1 Baise Center for Disease Control and Prevention, Guangxi Zhuang Autonomous Region, Baise 533000, China
    2 Guangxi Center for Disease Control and Prevention, Nanning 530028, China
  • Online:2018-08-30 Published:2018-09-06
  • Contact: Ji-guang DENG

摘要:

于2006-2016年对广西百色市城区中小学生进行肠道线虫调查,采用改良加藤厚涂片法(Kato-Katz法)镜检蠕虫卵。钩虫卵阳性粪样再以试管滤纸培养法进行钩蚴培养,鉴定钩虫种类。同时采用透明纸肛拭法对12周岁以下的学生进行蛲虫检测。共调查中小学生10 273人,肠道线虫感染者385例,感染率为3.75%,其中,以2006年感染率最高,为17.22%(36/709);2016年感染率最低,为1.15%(11/956)。鞭虫、蛔虫、蛲虫和钩虫的感染率分别为2.25%(231/10 273)、0.79%(80/10 273)、0.67%(69/10 273)和0.05%(5/10 273),钩虫虫种均为十二指肠钩虫。4种虫种的感染度均为轻度感染,未见混合感染。男童和女童肠道寄生虫感染率分别为3.36%(180/5 361)和4.17%(205/4 912),两者差异有统计学意义(χ2 = 4.722,P < 0.005)。6岁组肠道线虫感染率最高,为6.4%(95/1485)。常住地为农村的学生感染率最高,为13.11%(110/839);其次为城乡结合部,为8.49%(63/742);最低的为城区,为2.44%(212/8 692)(χ2 = 291.445,P < 0.01)。对所检出感染者,进行复方阿苯达唑驱虫治疗。提示肠道线虫感染情况整体呈现下降趋势,鞭虫为最常见肠道线虫。

关键词: 肠道线虫, 百色市, 调查, 分析

Abstract:

A survey was performed on intestinal nematodes among primary and middle school students in Baise city from 2006 to 2016, using the modified Kato thick smear (Kato-Katz) method to examine worm eggs under microscope. The positive fecal samples were further used to culture hookworm larvae using the tube filter method, to identify the species of hookworms. Meanwhile, pinworms were examined by the transparent paper anal swab method for students under 12 years. A total of 10 273 students were examined, of whom 385 (3.75%) were infected with intestinal nematodes. The infection rate of intestinal nematodes was highest in 2006 (17.22%, 36/709) and lowest in 2016 (1.15%, 11/956). The infection rates of whipworm, roundworm, pinworm and hookworms were 2.25% (231/10 273), 0.79% (80/10 273), 0.67% (69/10 273) and 0.05% (5/10 273), respectively. The hookworms detected were all identified to be Ancylostoma duodenale. The four species all showed mild infection, and no mixed infection was found. The infection rate of intestinal parasites was 3.36% (180/5 361) in boys and 4.17% (205/4 912) in girls (χ2 = 4.722, P < 0.005). The infection rate of intestinal nematodes was highest in the 6-year-old group (6.4%, 95/1485). Among different areas of residence, the infection rate of intestinal nematodes was highest in rural areas (13.11%, 110/839), and lowest in urban areas (2.44%, 212/8 692), with the rural-urban fringe areas in-between (8.49%, 63/742) (χ2 = 291.445, P < 0.01). Those detected with intestinal nematode infection received deworming treatment with the compound albendazole. The results suggest a trend of decrease for intestinal nematode infections, and whipworm is the most common intestinal nematode.

Key words: Intestinal nematode, Baise City, Survey, Analysis

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