杨亚明, 汪丽波, 吴方伟, 严信留, 马肖鹍, 杜尊伟. 青藏高原向云南延伸地区包虫病现状调查[J]. 疾病监测, 2014, 29(1): 52-55. DOI: 10.3784/j.issn.1003-9961.2014.01.014
引用本文: 杨亚明, 汪丽波, 吴方伟, 严信留, 马肖鹍, 杜尊伟. 青藏高原向云南延伸地区包虫病现状调查[J]. 疾病监测, 2014, 29(1): 52-55. DOI: 10.3784/j.issn.1003-9961.2014.01.014
YANG Ya-ming, WANG Li-bo, WU Fang-wei, YAN Xin-liu, MA Xiao-kun, DU Zun-wei. Survey of echinococcosis prevalence in area neigbouring Tibet in Yunnan[J]. Disease Surveillance, 2014, 29(1): 52-55. DOI: 10.3784/j.issn.1003-9961.2014.01.014
Citation: YANG Ya-ming, WANG Li-bo, WU Fang-wei, YAN Xin-liu, MA Xiao-kun, DU Zun-wei. Survey of echinococcosis prevalence in area neigbouring Tibet in Yunnan[J]. Disease Surveillance, 2014, 29(1): 52-55. DOI: 10.3784/j.issn.1003-9961.2014.01.014

青藏高原向云南延伸地区包虫病现状调查

Survey of echinococcosis prevalence in area neigbouring Tibet in Yunnan

  • 摘要: 目的 了解云南与青藏高原接壤地区是否存在包虫病流行,及其流行范围、程度等,为开展云南省包虫病防治提供参考依据。方法 2008年810月对调查地区医院病例搜索,以此为依据选择调查点。对调查点居民以B超普查方式筛查疑似患者,采集血清开展包虫病抗体酶联免疫吸附试验(ELISA)检测。对犬、羊、牛等家畜登记,收集犬粪开展犬粪包虫病抗原ELISA检测。对家畜屠宰场宰杀的家畜进行包块排查,收集样本进一步鉴定病原体。结果 在大理州、迪庆州和丽江地区的州、县医院病例搜索中,发现35例包虫病病例记录。在现场调查中,B超加血清抗体诊断4例包虫病,人血清抗体阳性率在8.70%~42.11%之间(平均20.88%)。犬粪包虫病抗原阳性率1.24%(0.44%~1.82%)。结论 初步可以判定在青藏高原的延伸地区云南省的迪庆、丽江和大理的半牧半农地区可能为低度包虫病流行区。

     

    Abstract: Objective To understand the prevalence status of echinococcosis in the area neigbouring Tibet in Yunnan province and provide scientific evidence for the prevention and treatment of echinococcosis. Methods The echinococcosis case record in hospitals in these areas were analyzed and field survey was condcuted in the places where echinococcosis cases occurred. The suspected cases in these areas were screened with B ultrasound detection and blood samples were taken from them for echinococcosis antibody detection with ELISA. The registering of domestic dogs, goats and cattle was conducted and dog stool samples were collected for echinococcosis antigen detection with ELISA. The livestock in slaught houses were checked, and samples were taken from these livestock for pathgen detection. Results A total of 35 echinococcosis cases were recorded in hospitals in Dali, Diqing and Lijiang prefectures. Four echinococcosis cases were detected in field survey with B ultrasound detection and serum antibody detection. The sero-antibody positive rate of human ranged from 8.70% to 42.10%(average 20.88%). The antigen positive rate in dog stool samples was 1.24%(0.44%-1.82%). Conclusion The result indicated that echinococcosis might spreaed at low level in Diqing, Lijiang and Dali, an area neighbouring Tibet, in Yunnan province.

     

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