2005-2020年贵阳市麻风流行病学特征分析

目的:了解贵阳市2005-2020年麻风的流行病学特征.方法:通过全国麻风防治管理信息系统(LEPMIS)收集整理贵阳市2005-2020年新、复发麻风患者的详细资料,采用SPSS 18.0软件对麻风病例的一般情况和就诊次数、麻风反应、残疾情况、传染源、发现方式和型别等相关因素进行χ2检验和非条件logistic多因素...

Epidemiological characteristics of leprosy in Guiyang city from 2005 to 2020

Objective: To investigate the epidemiological characteristics of leprosy in Guiyang from 2005 to 2020. Methods: The detailed data of new and recurrent leprosy patients in Guiyang from 2005 to 2020 were collected through the National Leprosy Prevention and Management Information System (LEPMIS). SPSS 18.0 software was used for χ2 test and multivariate logistic regression analysis on the related factors such as general information, times of visit, leprosy reaction, disability, source of infection, detection method and type of leprosy. Results: A total of 169 cases of new and recurrent leprosy were found in Guiyang from 2005 to 2020, with an average annual detection rate of 0.260/105, showing a general downward trend. Of 169 patients, 7 were relapsed cases, including 3 relapsed after MDT (42.86%) and 4 relapsed after DDS (57.14%). The mean age was 41.88±16.75 years, and 6 cases were children (14 years or younger), accounting for 3.55% of the new cases, MB∶PB=2.13∶1. The average rate of grade 2 disability was 32.54%. Skin clinic was the main detection mode, accounting for 31.36%. The main factors associated with disability were the education level of leprosy patients, different sources of infection, detection methods and types of leprosy. Conclusion: The prevalence of leprosy in Guiyang was generally declining. However, with a high level 2 disability ratio and the emergence of cases in children (14 years or younger), the leprosy epidemic situation remains severe.