[1]蔺兆星,李 鸽△,王 冠,等.2011-2018年西部某省麻风病流行现状及防治效果分析[J].陕西医学杂志,2020,49(6):759-762.[doi:DOI:10.3969/j.issn.10007377.2020.06.030]
　LIN Zhaoxing,LI Ge,WANG Guan,et al.Analysis on prevalence and control effect of leprosy in one province of western China from 2011 to 2018[J].,2020,49(6):759-762.[doi:DOI:10.3969/j.issn.10007377.2020.06.030]
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2011-2018年西部某省麻风病流行现状及防治效果分析
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年6期
页码:
759-762
栏目:
调查研究
出版日期:
2020-06-05

文章信息/Info

Title:
Analysis on prevalence and control effect of leprosy in one province of western China from 2011 to 2018
作者:
蔺兆星; 李 鸽△; 王 冠; 贺 琪; 干 娜; 王耀斐; 冯清华
陕西省地方病防治研究所(西安 710003)
Author(s):
LIN Zhaoxing; LI Ge; WANG Guan; et al.
Shaanxi Provincial Institute for Endemic Disease Control(Xi'an 710003)
关键词:
麻风病;  流行病学;  防治;  效果;  分析;  西部地区
Keywords:
Leprosy;  Epidemiology;  Prevention and cure;  Effect;  Analysis;  Western China
分类号:
R516
DOI:
DOI:10.3969/j.issn.10007377.2020.06.030
文献标志码:
A
摘要:
目的:分析西部某省2011-2018年麻风病流行现状及防治效果,为《全国消除麻风病危害规划(2011-2020年)》(《规划》)终期目标和各项指标的实现提供科学依据。 方法:收集西部某省2011-2018年的麻风病病例554例,对其密切接触者进行相关检查,部分患者进行治疗管理及联合化疗; 观察并记录分析新发病例、复发病例; 并对相关医务人员进行培训,调查麻风病核心知识的知晓率。 结果:2011-2018年,全省新发现病例115例,复发病例8例,麻风病患者密切接触者年检查率均保持在95%以上,麻风病患者早期发现率25.22%,新发现患者2级畸残比34.78%; 共治疗管理现症患者235例,联合化疗覆盖率100%,规则治疗率99.43%,严重麻风病不良反应治疗率100%,患者开始联合化疗后2年内新发生畸残者控制在10%以内; 省级培训16期1121人次,市级培训131期4137人次,县级培训643期32473人次; 公众麻风病核心知识知晓率91.21%,麻风病患者密切接触者知晓率97.17%。2018年底,全省现症麻风患者较2010年底减少了49.02%,有1个县(区)患病率未控制在1/10万以下。结论:全省实施《规划》各项工作进展顺利,在治疗管理、不良反应处置及畸残预防和康复、培训与督导、宣传教育等方面成效显著。但在防治业务服务体系及能力建设、早期主动发现、宣传教育、关爱麻风病患者和治愈者等方面仍需进一步加强。
Abstract:
Objective:To analyze the epidemic situation and control effect of leprosy in one province of western China from 2011 to 2018,so as to provide a scientific basis for the realization of the final goals and indicators of the National Plan to Eliminate Leprosy Hazards(2011-2020).Methods:554 leprosy cases from 2011 to 2018 in western China were collected,and their close contacts were examined,and some patients were treated,managed and combined with chemotherapy; new cases and recurrent cases were observed,recorded and analyzed; and relevant medical personnel were trained to investigate the awareness rate of leprosy core knowledge.Results:From 2011 to 2018,there were 115 new cases of leprosy and 8 recurrent cases of leprosy in the province.The annual examination rate of close contacts of leprosy patients was maintained over 95%,the early detection rate of leprosy patients was 25.22%,and the ratio of grade 2 teratological disability of newly discovered patients was 34.78%.A total of 235 cases of present patients were treated and managed.The coverage rate of combined chemotherapy was 100%,the regular treatment rate was 99.43%,and the adverse reaction rate of severe leprosy was 100%.The new abnormal disability of patients within 2 years after the combination chemotherapy started was controlled within 10%.There were 1121 person-times in 16 training sessions at the provincial level,4137 person-times in 131 training sessions at the municipal level,and 32473 person-times in 643 training sessions at the county level.The awareness rate of the core knowledge of leprosy was 91.21%,and the awareness rate of the close contacts of leprosy patients was 97.17%.At the end of 2018,the number of leprosy patients in the province had decreased by 49.02% compared with that at the end of 2010,and the prevalence rate in one county(district)was not controlled below 1/100000.Conclusion:The implementation of the“plan” in the province is progressing smoothly, with remarkable achievements in treatment management,adverse reaction treatment,prevention and rehabilitation of abnormal disability,training and supervision,publicity and educa-tion,etc.However,it still needs to be further strengthened in the aspects of prevention and treatment service system and capacity building,early active discovery,publicity and education,and care for leprosy patients and cured people.

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更新日期/Last Update: 2020-07-28