漳州市芗城区浦南村人群钩虫病调查

目的了解芗城区浦南村钩虫人群感染及流行情况。方法采用改良加藤氏厚涂片法检查钩虫卵;对部分重度感染者进行驱虫导泻治疗,并收集虫体进行虫种鉴定;对部分环境类型土壤的钩蚴进行分离培养与鉴定。结果检查4812人,钩虫感染者1601人,感染率为33.27%。感染程度以轻度感染为主;女性感染率（18.37%）高于男性（14.90%）（χ2=7.74,P〈0.05）;人群分布以〈15岁年龄段的感染率最低（9.31%）,55～年龄段的老年人最高（47.43%）,呈年龄增长而升高趋势（χ2=300.00,P〈0.01）;文化程度以高中以上者感染率最低（8.06%）,与文盲半文盲（31.89%）、小学（37.83%）、初中（31.35%）文化程度者比较差异有统计学意义（χ2=7.74,P〈0.05）。驱虫导泻20人,收集钩虫成虫326条,均鉴定为美洲钩虫;分离培养土壤20份,分离阳性钩蚴12份,均鉴定为美洲钩蚴。结论芗城区浦南村为严重的钩虫流行区,人群钩虫感染率高,且为单纯的美洲钩虫;因此,加强健康教育,开展防治措施具有重要意义。

Hookworm disease in Punan village of Xiangcheng district of Zhangzhou

Objective To investigate the prevalence of hookworm infection for Punan village of Xiangcheng district.Methods Improved Kato＇s thick smear method was used for detecting the hook eggs.The severely infected people were de-wormed and treated.The parasites were collected for species identification and the hookworm larvae in the soil were isolated,cultured and identified.Results 4 812 persons were checked.1 601 persons were infected with hookworm,with the infection rate of 33.27%.20 persons were de-wormed and treated.326 hookworms were collected,and all were identified as American hookworm larvae.20 soil samples were examined.12 of them contained hookworm larvae,and they were identified as American hookworm larvae.Conclusion Punan village of Xiangcheng district has a high prevalence of hookworm infection with American hookworm.Therefore,it is very important to strengthen the health education and carry out control measures.