【摘要】 目前,我国原疟区中的大部分地区已处于灭疟后期,疟疾的流行学特点发生了重大变化,原来的大规模群众运动及全民服药措施已不适应形势发展的需要。自70年代末期开始在全国范围内逐步加强发热病人的疟疾血检工作,有效地加强了传染源的检索。现在所采用的策略主要是病例侦查和根治病人;其中病例侦查以常规血检“四热”病人(即:临床初诊为疟疾,疑似疟疾,感冒,不明原因热病人)为主。虽然血检是一种诊断疟疾最可靠的方法,已被全国各地疟防机构和基层卫生保健机构广泛应用,但是随着疟疾发病率的下降,发热病人血检阳性率也在下降,导致血检率的低下。本文首先回顾了疟疾病例检测方法的演变过程,重点评述了目前血检标准的效率低下问题;然后分析与讨论了提高血检效率的可能途径,最后提出建议,以期为管理者和疟防专家们提供决策依据,指导今后发热病人的疟疾血检工作。更多还原

【Abstract】 The history of malaria case detection,especially the case detection among the fever patients,is reviewed and the resultshows that the efficiency of malaria case detection among fever patients is too low. Several possible ways of improving efficiencyof blood examination among fever patients are discussed, and suggested that if the previous blood - taking crierion was notchanged, increasing the relevance of clinical initial diagnosis and reinforceing the malaria surveillance of floating population arevery important. And new kind of blood -taking criterion.which is based on the symptom of malaria,is also needed.更多还原