目的:了解新疫区血吸虫病患者与当地未患血吸虫病的居民(以下简称当地居民)的心理状态,为开展血吸虫病患者心理卫生保健服务提供依据.方法:采用症状自评量表(SCL-90)对株洲市东北近郊新发现血吸虫疫区的血吸虫病患者和当地居民进行评定,并结合中国常模进行对照分析.结果:患有血吸虫病患者SCL-90总均分高于当地居民和中国常模.抑郁、焦虑因子分高于当地居民和中国常模,恐怖因子分高于中国常模.当地居民的躯体化、焦虑因子分高于中国常模.结论:血吸虫病患者的心理健康状况与当地居民和中国常模存在差异,特别是焦虑与抑郁心境受到影响.在今后的血吸虫病防治工作中应加强心理卫生保健服务,保护血吸虫疫区患者和当地居民的身心健康.

1998年在株洲市近郊发现一小范围的血吸虫病流行区,随即采取了一系列防治措施.2006年底在该区域普查血吸虫病时,我们对居住在疫区的127例血吸虫病人进行了现况调查,报告如下.

Objective To explore the comprehensive control measures for urban schistosomiasis. Methods Three pilots of schistosomiasis endemic cities were selected from 2002 to 2004, and the comprehensive measures mainly including chemotherapy were carried out in 2 pilots (Nanjingang, and Taipingqiao) and the comprehensive measure mainly including snail control were performed in Xiao Liuyezhou. Results From 2002 to 2004, the infection rates of schistosomiasis in residents in Nanjingang were 2.80%, 2.60% and 2.24%, respectively, with an incidence of 2 acute schistosomiasis patients. At the same time, the densities of infected snails were 0.0009,0.0027,0.0020 snails/0.1 m~2, without apparent changes in terms of the endemic aspects. However, in Xiao Liuyezhou, there was no positive case examined by stool and no incidence of acute schistosomiasis, no infection of schistosomiasis in sentinel mice and no infected snails detected during the period of three years. On the other hand, in Taipingqiao, the infection rates of schistosomiasis in residents were 1.67%,0.20% and 0.26%, respectively, without incidence of acute schistosomiasis.The infection rates of schistosomiasis in domestic animals were 6.35%,3.57% and 3.85%.In 2004, the infected snails with the density of 0.0001 snails/0.1 m~2 were detected, and the endemic situation was not controlled. Conclusions In schistosomiasis endemic cities, the comprehensive measures mainly including environmental modification, combined with population chemotherapy, health education, snail and cercaria control, could quickly control the transmission of schistosomiasis. However, the comprehensive measures mainly including chemotherapy are hard to control schistosomiasis endemic.

目的通过观察点疫情纵向观察,全面了解株州市血吸虫病新疫区动态,为制定防治对策提供科学依据.方法对观察点内5～65岁人群采用个案调查卡逐个进行询检,抽血作IHA,孵化定性,Kato-Katz法定量,3种方法同步进行检查;钉螺调查均为垸内10 m×10 m设框查螺.结果人群IHA检查阳性率为6.82%,孵化法为1.30%,2002年Kato-Katz法未发现阳性病例;耕牛粪检阳性率为20.00%,羊粪检阳性率为5.07%;钉螺平均密度为3.02只/0.1 m2,未发现阳性螺.结论 2002年与2001年相比,人群感染率下降不明显,但疫情已基本控制.钉螺密度下降不多,主要是环改灭螺尚未全面启动.

1999年收治急性血吸虫病9例,入院前,均由于误诊,延误了诊疗时间.为减少误诊,及时治疗急性血吸虫病人,现对9例急性血吸虫病人进行了分析.

为了解疫区血吸虫病患者HBV携带情况,我们对270例慢性血吸虫病患者进行了HBV携带情况调查,现报告如下.

1998年4月我区发现钉螺,经湖南省寄生虫病防治研究所调查,确定为血吸虫病新流行区.为了解钉螺感染情况,我们共解剖了11867只钉螺,现报告如下.

Aim To evaluate the efficacy of praziquantel against Schistosoma japonicum in area with repeated chemotherapy as compared with that in newly found endemic area in Dongting Lake region of China.Method 230 cases infected with S.japonicum as determined by Kato-Katz technique and miracidia hatching test were administered with a single oral dose of praziquantel in the non-infection season.The first follow up stool examination was made 50 days after treatment.Another chemotherapy was given to those stool egg positives,and the second follow up stool examination was made 50 days since then.Results Among the 220 cases received the first follow up,22 were found stool egg positive,with a stool egg negative conversion rate of 90%.No significant difference was found between the new and historical endemic areas.Of the 21 cases received the second chemotherapy,20 were followed up and only 1 was still stool egg positive after two consecutive treatments.Conclusion The efficacy of praziquantel against S.japonicum has not changed in the Dongting Lake region after more than 10 years of expanded chemotherapy.The efficacy is also not significantly different from that in the newly found endemic area.

<span id="ChDivSummary" name="ChDivSummary" class="abstract-text">在５０年代全国开展轰轰烈烈的血吸虫病普查普治时，我区既无钉螺也无血吸虫病人，划为血吸虫病非疫区。该地距离血吸虫疫区２００ｋｍ以外，４０多年来，疫区人员不断进入非疫区，种植业和养殖业也不断地从疫区引进。因此，近来我区的响塘村发现了３例血吸虫病例，其中２...</span>

于1997年6～8月,对株洲市厂矿卫生所和医务室的消毒工作进行了调查.调查以填表与采样检测结合进行.采样时,对医务人员手要求5指并拢,用浸有无菌生理盐水的棉拭在手掌面从指根到指端涂抹2遍采样;对物体表面则于5 cm × 5 cm规格板框取的面上涂抹10次采样.以检测细菌总数≤10 cfu/cm2为合格.对应用中的消毒液,取1 ml加入盛有9 ml中和剂溶液(氯或碘消毒剂者为含0.1%硫代硫酸钠、0.1%卵磷脂与2%吐温80的溶液,其它为含0.1%卵磷脂与2%吐温80的溶液)的试管中.