中国寄生虫学与寄生虫病杂志

• 研究简报 • 上一篇    下一篇

2011-2015年河南省淮阳县土源性线虫病监测结果分析

邓艳,陈伟奇,张雅兰,蔺西萌,张红卫*,许汴利   

  1. 河南省疾病预防控制中心,郑州 450016
  • 出版日期:2016-12-30 发布日期:2017-01-10

Results of Soil-transmitted Nematode Monitoring in Henan Province in 2011-2015

DENG Yan, CHEN Wei-qi, ZHANG Ya-lan, LIN Xi-meng, ZHANG Hong-wei*, XU Bian-li   

  1. Henan Center for Disease Control and Prevention, Zhengzhou 450016, China
  • Online:2016-12-30 Published:2017-01-10

摘要:

了解河南省淮阳县蛔虫(Ascaris lumbricoides)、钩虫(Ancylostoma sp.)和鞭虫(Trichuris trichiura)等土源性线虫病的流行动态。2011-2015年,在淮阳县每年收集不少于1 000人份的粪便样本,采用改良加藤厚涂片法检查土源性线虫及其他肠道蠕虫卵,钩虫阳性粪样用试管滤纸培养法鉴定虫种;3~12周岁儿童加做透明胶纸肛拭法检查蛲虫(Enterobius vermicularis)虫卵;每年随机抽取10户家庭,收集其菜地、厕所、庭院和厨房的土壤样本,用改良饱和硝酸钠漂浮法检测土壤蛔虫卵污染情况。5年累计监测5 229人,发现肠道蠕虫感染者54人,总感染率为1.03%。共查出蛔虫、鞭虫、十二指肠钩虫(Ancylostoma duodenale)、蛲虫和东方毛圆线虫(Trichostrongylus orientalis)等5种肠道蠕虫,感染人数分别为13、2、9、29和1人,均为轻度感染,无多虫感染。2015年土源性线虫感染率最高,为0.6%(7/1 134);2013年感染率最低,为0.3%(3/1 037)(P>0.05)。各年龄段中<10岁组肠道蠕虫感染率最高,为2.8%(25/905),其次为70岁以上和30~40岁组,感染率分别为 1.6%(4/256)和1.2%(8/671),差异无统计学意义(P>0.05)。儿童肛拭法检查蛲虫平均感染率为1.8%(18/993)。幼托儿童和学生蛲虫感染率较高,分别为1.6%(6/366)和1.3%(13/1 005),与农民蛲虫感染率0.3%(10/3 782)相比,差异有统计学意义(P<0.01)。随机采集土壤样本200份,未发现蛔虫卵。2011-2015年河南省淮阳县土源性线虫感染维持在较低水平。

关键词: 土源性线虫, 蛔虫, 鞭虫, 十二指肠钩虫, 蛲虫, 河南省

Abstract:

To understand the endemic situation of soil-transmitted nematodiasis(Ascaris lumbricoides, Trichuris trichiura and Ancylostoma sp.) in Huaiyang County, Henan Province. Over 1 000 fecal samples from inhabitants in Huaiyang County of Henan Province were collected each year during 2011-2015, in which the soil-transmitted nematodes eggs and other intestinal helminth eggs were examined by Kato-Katz technique. The helminth-positive samples were examined by filter paper culture method to identify the species of hookworm. The cellophane swab method was used to detect Enterobius vermicularis eggs in children aged 3~12 years. Soil samples were collected from vegetable field, lavatory, courtyard and kitchen of 10 families randomly selected in each year to examine Ascaris eggs by a modified saturated sodium nitrate floatation method. In 2011-2015, 5 229 people were examined and 54 person infected with intestinal helminths were found. Five intestinal helminthes, A. lumbricoides, T. trichiura, Ancylostoma duodenale, Enterobius vermicularis and Trichostrongylus orientalis were found with 13, 2, 9, 29 and 1 infection person respectively. All showed mild infection and no multiple infections were found. There was no significant difference between the year 2015 which had the highest soil-transmitted nematode infection rate 0.6%(7/1 134) and the year 2013 which had the lowest infection rate 0.3%(3/1 037)(P>0.05). The infection rate of intestinal helminths was highest in group of <10 years(2.8%, 25/905), followed by the groups of >70 years(1.6%, 4/256) and 30~40 years(1.2%, 8/671)(P>0.05). The average infection rate of E. vermicularis was 1.8%(18/993) The infection rate of E. vermicularis was relatively higher in kindergarten kids(1.6%, 6/366) and students(1.3%, 13/1 005) than that in farmers(0.3%, 10/3 782)(P<0.01). No Ascaris eggs were found in the 200 randomly collected soil samples. The intestinal helminth infection status maintaines at low level in Henan Province during 2011-2015.

Key words: Soil-transmitted nematode, A. lumbricoides, T. trichiura, A. duodenale, E. vermicularis, Henan Province