【摘要】 目的评价金湖县土源性线虫病综合防治效果,为制定防治策略和措施提供依据。方法 1995年起,采取药物驱虫、健康教育、改水改厕与环境整治等措施,对土源性线虫病进行综合干预。通过居民土源性线虫感染率、卫生知识知晓率和卫生行为正确率等指标评价综合防治效果。结果 1995-2012年,全县共完成驱虫服药646 437人次,人均服药2.48次。自来水受益率97.90%,农村无害化卫生厕所普及率达86.89%。居民卫生知识知晓率由1996年的54.05%上升至95.60%,差异有统计学意义(χ2=230.92,P<0.01),卫生行为正确率由1996年的59.07%上升至96.40%,差异有统计学意义(χ2=202.69,P<0.01)。2012年土源性线虫感染率为1.21%,较1989年的62.57%下降了98.07%,差异有统计学意义(χ2=1 016.92,P<0.01)。蛔虫、钩虫、鞭虫感染率分别为0.58%、1.12%、0,较1989年分别下降了94.96%、97.28%、100%,差异均有统计学意义(χ2蛔=129.50,χ2钩=544.62,χ2鞭=254.19,P均<0.01)。结论金湖县通过实施综合防治策略和相关措施,有效控制了土源性线虫病的流行。更多还原

【Abstract】 Objective To evaluate the effect of integrated control measures on soil-transmitted nematodiasis so as to provide the evidence for formulating the appropriate control strategies and measures in Jinhu County,Jiangsu Province. Methods Since 1995,the comprehensive control measures were carried out for soil-transmitted nematodiasis,and the measures included deworming,health education,safe water,sanitation and environmental remediation. The effects of the comprehensive control measures were evaluated by the investigations of the prevalence of soil-transmitted nematodiasis,awareness of health knowledge,and behaviors of residents. Results From 1995 to 2012,646 437 person-times were administrated in deworming medication with 2.48 times per capita;the benefit rate of safe water was 97.90%;the popularity rate of harmless toilets was 86.89%. The awareness rate of health knowledge increased from 54.05% in 1996 to 95.60% in 2012,the difference between them were statistically significant( χ2=230.92,P<0.01);the rate of correct health behaviors increased from 59.07% in 1996 to 96.40% in 2012,the difference between them had statistical significance(χ2=202.69,P<0.01). The prevalence of soil-transmitted nematodiasis decreased from 62.57% in 1989 to 1.21% in 2012,the difference had statistical significance(χ2=1 016.92,P<0.01). The infection rates of Ascaris lumbricodes,hookworm and Trichuris trichiura were 0.58%,1.12% and 0,respectively in 2012,and compared with the rates of those infections in 1989,the decline rates were 94.96%,97.28% and 100% respectively,the differences between them were statistically significant( χ2Ascaris=129.50,χ2hookworm=544.62,χ2Trichuris=254.19,all P<0.01). Conclusion The comprehensive control strategies and measures are effective and soil-transmitted nematodiasis has been controlled in Jinhu County.更多还原