2009—2025年全国广州管圆线虫病症状监测

doi:10.12140/j.issn.1000-7423.2026.04.003

中国寄生虫学与寄生虫病杂志 ›› 2026, Vol. 44 ›› Issue (4): 477-483.doi: 10.12140/j.issn.1000-7423.2026.04.003

2009—2025年全国广州管圆线虫病症状监测

韩青池¹(), 杨丽敏¹, 朱泽林¹^,², 张仪¹, 陈军虎¹, 郭云海¹^,²^,^*()(), 吕山¹^,^*()()

¹ 中国疾病预防控制中心寄生虫病预防控制所（国家热带病研究中心），传染病溯源预警与智能决策全国重点实验室，国家卫生健康委员会寄生虫病原与媒介生物学重点实验室，世界卫生组织热带病合作中心，科技部国家级热带病国际联合研究中心，上海 200025
² 海南热带病研究中心（国家热带病研究中心海南分中心），海南海口 570203

收稿日期:2026-06-29 修回日期:2026-07-28 出版日期:2026-08-30 发布日期:2026-08-25
通讯作者: * 郭云海（ORCID：0000-0001-6355-3727），男，博士，研究员，从事病媒生物防控研究。E-mail：guoyh@nipd.chinacdc.cn；
吕山（ORCID：0000-0003-2086-807X），男，博士，研究员，从事寄生虫病防治与全球卫生研究。E-mail：lvshan@nipd.chinacdc.cn
作者简介:韩青池，女，本科，研究实习员，从事病媒生物防控研究。E-mail：hanqc@nipd.chinacdc.cn
作者贡献
韩青池负责数据收集、核实、分析和论文撰写，杨丽敏、朱泽林参与数据收集、整理，陈军虎、张仪、郭云海、吕山负责文章审阅、修改。
基金资助:
国家科技重大专项(2025ZD01900304)

National syndromic surveillance of angiostrongyliasis in China from 2009 to 2025

HAN Qingchi¹(), YANG Limin¹, ZHU Zelin¹^,², ZHANG Yi¹, CHEN Junhu¹, GUO Yunhai¹^,²^,^*()(), LV Shan¹^,^*()()

¹ National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Chinese Center for Tropical Diseases Research; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases; NHC Key Laboratory of Parasite and Vector Biology; WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai 200025, China
² Hainan Tropical Diseases Research Center (Hainan Sub Center, Chinese Center for Tropical Diseases Research), Haikou 570203, Hainan, China

Received:2026-06-29 Revised:2026-07-28 Online:2026-08-30 Published:2026-08-25
Contact: * E-mail: guoyh@nipd.chinacdc.cn; lvshan@nipd.chinacdc.cn
Supported by:
National Science and Technology Major Project(2025ZD01900304)

摘要/Abstract

摘要：

目的了解我国广州管圆线虫病流行现状，为开展防控工作提供参考。方法收集2009—2025年我国12个广州管圆线虫病症状监测试点地区上报的病例数据及中间宿主螺类监测数据，对流行地区、螺类感染率及分布扩散趋势等进行总结分析。结果 2009—2025年试点地区共报告广州管圆线虫病251例。其中，临床诊断病例88例，疑似病例163例。报告病例主要来自云南大理（临床诊断病例63例，疑似病例10例）、昆明（临床诊断病例12例，疑似病例8例）和福建福州（临床诊断病例11例，疑似病例99例），云南景洪（疑似病例26例）和福建厦门（临床诊断病例1例，疑似病例15例）有少量病例报告。报告病例数总体呈下降趋势。中间宿主螺类监测结果显示，福寿螺和玛瑙螺是广州管圆线虫病的主要传播媒介，2009—2025年总感染率分别为1.07%（2 647/247 801）和9.62%（878/9 124）。福寿螺每年均检出阳性螺，其中2009年感染率最高，为3.13%（109/3 480）；玛瑙螺有9年检出阳性螺，其中2016年感染率最高，为31.61%（165/522）。扩散趋势监测显示，福寿螺和玛瑙螺均存在向北扩散的趋势，其中福寿螺已广泛入侵秦岭淮河以南地区，并在山东和河南境内定殖。结论我国广州管圆线虫病试点地区总体流行呈下降趋势，但福寿螺和玛瑙螺入侵扩散范围不断扩大，增加了该病的传播风险。

关键词: 广州管圆线虫病, 症状监测, 福寿螺, 玛瑙螺

Abstract:

Objective To investigate the current prevalence of angiostrongyliasis in China, so as to provide insight into angiostrongyliasis control programmes. Methods Data pertaining to human angiostrongyliasis cases and surveillance of intermediate host snails were collected from 12 pilot areas conducting syndromic surveillance for angiostrongyliasis in China from 2009 to 2025. The geographical distribution of angiostrongyliasis cases, prevalence of Angiostrongylus cantonensis infection in snail hosts, and distribution and spread of snail hosts were analyzed. Results A total of 251 angiostrongyliasis cases were reported from the pilot areas from 2009 to 2025, including 88 clinically diagnosed cases and 163 suspected cases. Most cases were reported from Dali Prefecture (63 clinically diagnosed cases and 10 suspected cases) and Kunming City of Yunnan Province (12 clinically diagnosed cases and 8 suspected cases), and Fuzhou City of Fujian Province (11 clinically diagnosed cases and 99 suspected cases), and a few cases were reported from Jinghong City of Yunnan Province (26 suspected cases), and Xiamen City of Fujian Province (one clinically diagnosed case and 15 suspected cases). The number of reported angiostrongyliasis cases showed an overall tendency towards a decline from 2009 to 2025. Surveillance on intermediate host snails identified Pomacea spp. and Lissachatina spp. as predominant intermediate snail hosts, and the overall prevalence rates of A. cantonensis infections were 1.07% (2 647/247 801) in Pomacea spp. and 9.62% (878/9 124) in Lissachatina spp., respectively. A. cantonensis infection was detected in Pomacea spp. each year from 2009 to 2025, with the highest prevalence recorded in 2009 (3.13%, 109/3 480), while A. cantonensis infection was found in Lissachatina spp. in 9 years from 2009 to 2025, with the highest prevalence recorded in 2016 (31.61%, 165/522). The distributions of both Pomacea spp. and Lissachatina spp. showed a tendency towards expansion northwards. Pomacea spp. has already invaded in the southern part of the Qinling-Huaihe Line and colonized in two provinces of Shandong and Henan. Conclusion The overall prevalence of angiostrongyliasis appeared a tendency towards a decline in the pilot areas of China from 2009 to 2025. However, geographical distributions of invasive Pomacea spp. and Lissachatina spp. continue to expand, which increase the risk of angiostrongyliasis transmission.

Key words: Angiostrongyliasis, Syndromic surveillance, Pomacea, Lissachatina

中图分类号:

R532.19

韩青池, 杨丽敏, 朱泽林, 张仪, 陈军虎, 郭云海, 吕山. 2009—2025年全国广州管圆线虫病症状监测[J]. 中国寄生虫学与寄生虫病杂志, 2026, 44(4): 477-483.

HAN Qingchi, YANG Limin, ZHU Zelin, ZHANG Yi, CHEN Junhu, GUO Yunhai, LV Shan. National syndromic surveillance of angiostrongyliasis in China from 2009 to 2025[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2026, 44(4): 477-483.

图/表 4

表1

2009—2025年我国广州管圆线虫病症状监测试点地区病例监测统计

年份 Year		云南大理 Dali, Yunnan				云南昆明 Kunming, Yunnan				云南景洪 Jinhong, Yunnan					福建福州 Fuzhou, Fujian				福建厦门 Xiamen, Fujian				广东清远 Qinyuan, Guangdong
年份 Year		临床诊断病例 Clinically diagnosed case		疑似病例Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例Suspected case		临床诊断病例 Clinically diagnosed case			疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case
2009		0		0		0		0		0			0		3		0		0		0		-		-
2010		2		0		3		1		0			26		3		99		0		15		0		0
2011		19		6		9		1		0			0		2		0		1		0		0		0
2012		2		1		0		0		0			0		0		0		0		0		0		5
2013		6		0		0		6		0			0		0		0		0		0		0		0
2014		6		1		0		0		0			0		0		0		0		0		0		0
2015		4		1		0		0		0			0		0		0		0		0		0		0
2016		11		1		0		0		0			0		0		0		0		0		0		0
2017		0		0		0		0		0			0		0		0		0		0		0		0
2018		1		0		0		0		0			0		0		0		0		0		0		0
2019		1		0		0		0		0			0		0		0		0		0		0		0
2020		4		0		0		0		0			0		0		0		0		0		0		0
2021		3		0		0		0		0			0		0		0		0		0		0		0
2022		0		0		0		0		0			0		0		0		0		0		0		0
2023		1		0		0		0		0			0		3		0		0		0		0		0
2024		1		0		0		0		0			0		0		0		0		0		0		0
2025		2		0		0		0		0			0		0		0		0		0		0		0
合计 Total		63		10		12		8		0			26		11		99		1		15		0		5
年份 year	广东开平 Kaiping, Guangdong				上海黄浦 Huangpu, Shanghai				上海松江 Songjiang, Shanghai			四川自贡 Zigong, Sichuan				山东兖州 Yanzhou, Shandong				海南儋州 Danzhou, Hainan				合计 Total
年份 year	临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case	临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case		疑似病例 Suspected case		临床诊断病例 Clinically diagnosed case	疑似病例 Suspected case
2009	-		-		-		-		-		-	-		-		-		-		-		-		3	0
2010	0		0		-		-		-		-	-		-		-		-		-		-		8	141
2011	0		0		-		-		-		-	-		-		-		-		-		-		31	7
2012	0		0		-		-		-		-	-		-		-		-		-		-		2	6
2013	0		0		0		0		0		0	-		-		-		-		-		-		6	6
2014	0		0		0		0		0		0	-		-		-		-		-		-		6	1
2015	0		0		0		0		0		0	-		-		-		-		-		-		4	1
2016	0		0		0		0		0		0	-		-		-		-		-		-		11	1
2017	0		0		0		0		0		0	-		-		-		-		-		-		0	0
2018	0		0		0		0		0		0	-		-		-		-		-		-		1	0
2019	0		0		0		0		0		0	-		-		-		-		-		-		1	0
2020	0		0		0		0		0		0	-		-		-		-		-		-		4	0
2021	0		0		0		0		0		0	-		-		-		-		-		-		3	0
2022	0		0		0		0		0		0	0		0		-		-		-		-		0	0
2023	0		0		0		0		0		0	0		0		1		0		0		0		5	0
2024	0		0		0		0		0		0	0		0		0		0		0		0		1	0
2025	0		0		0		0		0		0	0		0		0		0		0		0		2	0
合计 Total	0		0		0		0		0		0	0		0		1		0		0		0		88	163

表1

表2

图1

图2

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年份	福寿螺 Pomacea			玛瑙螺 Lissachatina			环棱螺 Bellamya			圆田螺 Cipangopaludina
年份	检测只数 No. tested	阳性只数 No. positive	感染率/% Infection rate/%	检测只数 No. tested	阳性只数 No. positive	感染率/% Infection rate/%	检测只数 No. tested	阳性只数 No. positive	感染率/% Infection rate/%	检测只数 No. tested	阳性只数 No. positive	感染率/% Infection rate/%
2009	3 480	109	3.13	0	0	0	1 950	3	0.15	506	0	0
2010	6 037	177	2.93	300	0	0	5 389	3	0.06	4 300	0	0
2011	27 911	570	2.04	500	0	0	9 123	13	0.14	11 590	0	0
2012	20 994	645	3.07	1 521	187	12.29	15 285	8	0.05	16 103	0	0
2013	19 345	273	1.41	1 901	0	0	22 548	4	0.02	16 344	0	0
2014	11 237	152	1.35	761	18	2.37	14 307	2	0.01	3 751	0	0
2015	12 946	68	0.53	1 879	334	17.78	9 298	1	0.01	8 009	0	0
2016	23 172	95	0.41	522	165	31.61	408	2	0.49	0	0	0
2017	13 842	47	0.34	389	58	14.91	1 132	0	0	186	0	0
2018	6 292	88	1.40	0	0	0	8 922	0	0	5 280	0	0
2019	28 353	95	0.34	114	0	0	13 743	0	0	8 163	1	0.01
2020	20 086	112	0.56	0	0	0	4 912	1	0.02	2 520	0	0
2021	15 151	58	0.38	0	0	0	4 130	0	0	0	0	0
2022	14 527	82	0.56	110	4	3.64	-	-	-	-	-	-
2023	4 236	51	1.20	483	86	17.81	-	-	-	-	-	-
2024	15 737	10	0.06	400	22	5.50	-	-	-	-	-	-
2025	4 455	15	0.34	244	4	1.64	-	-	-	-	-	-

2009—2025年全国广州管圆线虫病症状监测

National syndromic surveillance of angiostrongyliasis in China from 2009 to 2025

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