【摘要】 目的总结2012年至2015年四川地区带绦虫病患者的流行病学及临床特征,为该病防治提供依据。方法回顾性分析2012年1月至2015年8月于本院就诊的81例带绦虫病患者的流行病学及临床特征。结果本组病例年龄为16~79岁,以青壮年(20~50岁)多见(58例,70.37%),且男性多于女性(1.25:1);均为藏族人群,以甘孜州、阿坝州地区为主(73例,90.13%);均有食用生牛肉史。患者多以腹痛为首发症状(70例,86.4%),部分患者可自主排出白色蠕动节片(22例,27.16%),可伴有不同程度的嗜酸性粒细胞增高(20例,24.69%)和贫血(15例,18.64%)。内镜均发现扁平软体白色蠕动节片,包括胃镜阳性6例(7.41%)和肠镜阳性75例(92.59%)。患者常患有基础疾病(50/81,占61.73%),多以基础疾病就诊而发现带绦虫感染。70例患者接受中药驱虫治疗,治愈65例(92.86%)。结论有食用生牛肉史的藏族人群是带绦虫病的高危人群,建议常规行带绦虫病的相关筛查。内镜检查阳性率高,且操作简便、安全可靠,可作为带绦虫病的常规检查,有助于减少漏诊及误诊。更多还原

【Abstract】 Objective To investigate the epidemiological and clinical characteristics of patients infected with Taeniaspp in Sichuan area from 2012 to 2015.Methods The epidemiological and clinical characteristics of 81 patients infected with Taeniaspp in our hospital from January 2012 to August 2015 were analyzed,retrospectively.Results Among the 81 patients aged from 16 to 79 years old,70.37%cases were young adults(20-50 years old),and male patients numbered more than female ones(1.25:1).All patients were Tibetan people,mostly from Ganzi Tibetan Autonomous Prefecture or Aba Prefecture(73/81,90.13%),and once ate raw beef.Most patients(70/81,86.4%) had abdominal pain as the initial symptoms,some(22/81,27.16%) defecated white peristalsis proglottid independently,and some accompanied with elevated eosnophils(24.69%) or anemia(18.64%).White peristalsis proglottidwas were deteced by endoscope in all patients,including gastroscope(6/81,7.41%) and colonscopy(75/81,92.59%).Some patients(61.73%)accidently found Taeniasppin infection when they came to hospital for other diseases.After Traditional Chinese Medicine insecticide treatment,65 patients(92.86%) were cured.Conclusions Tibetan people who once ate raw beef are high-risk population infected with taeniasis,and should accept taeniasis screening conventionally.Because endoscopy examination is safe,reliable,simple and with high positive-rate,it should be used as a routine inspection taeniasis in order to reduce missed-diagnosis and misdiagnosis.更多还原