内蒙古自治区棘球蚴病流行基线抽样调查与分析

doi:10.12140/j.issn.1000-7423.2025.01.005

中国寄生虫学与寄生虫病杂志 ›› 2025, Vol. 43 ›› Issue (1): 26-29.doi: 10.12140/j.issn.1000-7423.2025.01.005

内蒙古自治区棘球蚴病流行基线抽样调查与分析

韩松¹(), 雷霞¹, 聂莉², 罗文博¹, 姜晓峰¹^,^*()()

1 内蒙古自治区疾病预防控制中心，内蒙古呼和浩特 010031
2 通辽市第六人民医院，内蒙古通辽 028000

收稿日期:2024-11-05 修回日期:2025-01-25 出版日期:2025-02-28 发布日期:2025-03-26
通讯作者: *姜晓峰（ORCID：0000-0002-3940-7110），男，硕士，主任医师，主要从事传染病防控和卫生应急研究。E-mail: 117826929@qq.com
作者简介:韩松，男，本科，主管技师，主要从事传染病防控研究。E-mail：1240295906@qq.com
基金资助:
内蒙古自治区科技计划(2021GG0132);内蒙古卫生健康科技计划(202201170);内蒙古卫生健康科技计划(202201171)

Baseline sampling survey and analysis of the pidemiology of echinococcosis in Inner Mongolia Autonomous Region

HAN Song¹(), LEI Xia¹, NIE Li², LUO Wenbo¹, JIANG Xiaofeng¹^,^*()()

1 The center for Disease Control and Prevention of Inner Mongolia Autonomous Region, Huhehaote 010031, Inner Mongolia, China
2 The Sixth People’s Hospital of Tongliao City, Tongliao 028000, Inner Mongolia, China

Received:2024-11-05 Revised:2025-01-25 Online:2025-02-28 Published:2025-03-26
Contact: *E-mail: 117826929@qq.com
Supported by:
Science and Technology Plan of Inner Mongolia(2021GG0132);Science and Technology Plan of Health and Hygiene in Inner Mongolia(202201170);Science and Technology Plan of Health and Hygiene in Inner Mongolia(202201171)

摘要/Abstract

摘要：

目的了解内蒙古自治区棘球蚴病流行范围和程度，为科学防控提供依据。方法 2012—2018年采用分层整群抽样法对内蒙古11个盟市的36个旗（县、市、区）进行棘球蚴病流行基线抽样调查与分析，各旗（县、市、区）调查约3 200人，采用超声检测诊断人棘球蚴病患病情况并记录信息。在调查村养犬户随机采集犬的粪样（每户1条犬），采用ELISA法检测犬粪棘球绦虫抗原。内脏剖检法检查家畜（羊）棘球蚴感染情况。结果 22个旗（县、市、区）发现棘球蚴病患者，其中牧业区15个、半农半牧区5个、农业区2个。发现病例数最多旗县为西乌珠穆沁旗（16例，占21.6%），患病率介于0.10%~0.50%的旗（县、市、区）有6个，介于0.03%~0.10%的有16个。共调查115 155人，共检出74例棘球蚴病患者，均为细粒棘球蚴病，患病率为0.11%（74/115 155）。女性（患病率0.08％，51/60 544）、30~59岁年龄段（占比60.81%，45/74）、牧民（占比55.41%，41/74）文化程度为小学（患病率0.10%，39/39 237）和游牧人群（患病率0.29%，6/2 097）人群是高风险人群。36个旗（县、市、区）采集犬粪17 909份，犬粪棘球绦虫抗原阳性率为1.84％（330/17 909）。26个旗（县、市、区）发现阳性犬粪，犬粪阳性率≥ 5.00%的有1个（新巴尔虎右旗11.75%），1.00%~5.00%的有18个，0.29%~1.00%的有8个。33个旗（县、市、区）共检查羊32 100头，羊棘球蚴病患病率为0.46％。14个旗（县、市、区）发现棘球蚴患病羊，患病率介于0.10%~7.30%，患病率 > 1.00%的旗（县、市、区）有3个，均为牧业区。结论内蒙古棘球蚴病流行范围较广，整体流行水平较低。存在明显的地区和人群聚集分布特征，应加强重点地域和人群的防控工作。

关键词: 棘球蚴病, 流行, 基线, 调查, 内蒙古自治区

Abstract:

Objective To investigate the epidemiology of echinococcosis in Inner Mongolia Autonomous Region, so as to provide insights into echinococcosis control. Methods Baseline surveys on the epidemiology of echinococcosis were performed using a stratified cluster sampling method in 36 banners (counties, cities, districts) across 11 leagues (cities) in Inner Mongolia Autonomous Region from 2012 to 2018. Approximately 3 200 residents were recruited in each banner (county, city, district), and human echinococcosis was diagnosed with ultrasound. Fecal samples were randomly collected from one dog per household in the surveyed villages, and the Echinococcus coproantigen was detected using ELISA in dogs. In addition, Echinococcus infection was identified using necropsy in livestock (sheep). Results Echinococcosis patients were diagnosed in 22 banners (counties, cities, districts), including 15 in pastoral areas, 5 in semi-agricultural and semi-pastoral areas, and 2 in agricultural areas. The highest number of echinococcosis cases was recorded in Xiwuzhumuqin Banner (16 cases, 21.6% of all cases), and there were 6 banners (counties, cities, districts) with echinococcosis prevalence of 0.10% to 0.50%, and 16 with prevalence of 0.03% to 0.10%. A total of 115 155 residents received ultrasound screening for echinococcosis, and 74 residents were diagnosed with echinococcosis (all cystic echinococcosis), with a prevalence rate of 0.11% (74/115 155). Women (0.08% prevalence, 51/60 544), residents at ages of 30 to 59 years (accounting for 60.81%, 45/74), herders (accounting for 55.41%, 41/74), residents with an educational level of primary school (0.10% prevalence, 39/39 237), and nomadic populations (0.29% prevalence, 6/2 097) were identified at a high risk of echinococcosis. A total of 17 909 dog feces samples were collected from 36 banners (counties, cities, districts), and the positive rate of Echinococcus coproantigen was 1.84% (330/17 909) in dogs. Dog feces positive for Echinococcus coproantigen was detected in 26 banners (counties, cities, districts), and there was one banner with a 5.00% and higher positive rate of Echinococcus coproantigen in dogs (New Barag Right Banner, 11.75%), 18 banners (counties, cities, districts) with positive rates of 1.00% to 5.00% and 8 banners (counties, cities, districts) with positive rates of 0.29% to 1.00%. A total of 32 100 sheep were examined for echinococcosis in 33 banners (counties, cities, districts), and the prevalence of echinococcosis was 0.46%. Sheep with echinococcosis were found in 14 banners (counties, cities, districts), with echinococcosis prevalence of 0.10% to 7.30%, and there were 3 banners (counties, cities, districts) with echinococcosis prevalence of > 1.00%, all in pastoral areas. Conclusion Echinococcosis is widely but overall lowly prevalent in Inner Mongolia, and there are obvious regional and population clustering distributions. Intensified echinococcosis prevention and control is recommended in key areas and populations.

Key words: Echinococcosis, Prevalence, Baseline, Investigation, Inner Mongolia Autonomous Region

中图分类号:

R532.32

韩松, 雷霞, 聂莉, 罗文博, 姜晓峰. 内蒙古自治区棘球蚴病流行基线抽样调查与分析[J]. 中国寄生虫学与寄生虫病杂志, 2025, 43(1): 26-29.

HAN Song, LEI Xia, NIE Li, LUO Wenbo, JIANG Xiaofeng. Baseline sampling survey and analysis of the pidemiology of echinococcosis in Inner Mongolia Autonomous Region[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2025, 43(1): 26-29.

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参考文献 10

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特征 Characteristics		调查人数 Investigated	阳性人数 No. positive cases	患病率/% Prevalence/%
性别 Sex	男 Male	23	54 611	0.04
性别 Sex	女 Female	51	60 544	0.08
年龄	≤ 9	0	1 121	0
Age	10~19	0	2 587	0
	20~29	4	10 356	0.04
	30~39	9	17 373	0.05
	40~49	20	25 694	0.08
	50~59	16	23 960	0.07
	60~69	13	21 357	0.06
	70~79	8	10 570	0.08
	80~89	4	2 073	0.19
	≥ 90	0	64	0
职业	牧民 Herdsman	41	35 217	0.12
Occupation	农民 Farmer	23	48 207	0.05
	商人 Merchant	3	3 077	0.10
	家务 Housework	3	6 748	0.04
	其他 Others	4	21 906	0.02
文化程度	初中 Middle school	19	44 456	0.04
Education	大专及以上 Universities or above	2	5 439	0.04
	高中 High school	2	12 156	0.02
	文盲 Illiterate	12	13 169	0.09
	小学 Primary school	39	39 237	0.10
	学龄前 Preschool	0	698	0
居住方式	定居 Settle	68	113 015	0.06
Living style	游牧 Nomadic	6	2 097	0.29
	其他 Others	0	43	0

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内蒙古自治区棘球蚴病流行基线抽样调查与分析

Baseline sampling survey and analysis of the pidemiology of echinococcosis in Inner Mongolia Autonomous Region

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