四川省筠连等3县(区)消除丝虫病后慢性丝虫病患者情况调查

目的了解消除丝虫病后慢性丝虫病患者的转归和患病情况。方法对青神、乐山市中区和筠连等 3个省监测点原慢性丝虫病患者复查、核实。结果消除丝虫病 5年后 ,慢性丝虫病患者比消除丝虫病时自然减少了2 0 .5 5 % ,分布区域已明显缩小。 2 5 9例患者肢体淋巴液肿部位主要在下肢 ;年龄 6 0岁以上占 84 .5 6 % ;男性多于女性。1 31例患者中病程 4 0年以上者占 81 .6 8% ;肢体淋巴液肿以 - 期为主 ,占整个病例的 80 .1 5 %。结论消除丝虫病后 ,慢性丝虫病患者明显减少 ,体征程度减轻 ,表现为高龄、病程长的特点。后期监测患者应加强自身保健治疗 ,控制发病 ,减轻症状和体征。

Investigation on Chronic Filariasis Cases in 3 Endemic Counties after the Disease Being Eliminated in Sichuan

Objective To master the end-result and state of illness of chronic filariasis cases after the disease being eliminated. Method The original chronic filariasis cases in 3 provincial surveillance spots of filariasis malayan in Qingshen County, Central District of Leshan City and Junlian County were checked and re-examined clinically. Results Five years after the filariasis being eliminated, the chronic cases naturally decreased by 20.55% and the endemic scope also significantly reduced. Among total 259 chronic cases in above 3 counties, the lymphedema mainly involved the lower extremities, the age of 84.56% cases was over 60, and the male cases were more than the female ones. Among 131 cases from Central District of Leshan City and Qingshen County, the course of disease in 81.68% of them lasted for over 40 years, and the lymphedema intensity in 80.15% of them remained in I-II stage. Conclusion After filariasis being eliminated, the chronic cases decreased, physical sign abated and most of them revealed characteristics of renerable age and long disease course. During the later stage of filariasis surveillance, self protection of health and treatment measure should be strengthened so as to control the onset of the illness and to abate the symptoms and signs.