中国循证医学杂志

中国循证医学杂志

四川省 2000~2017 年麻风病流行病学特征分析

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目的调查 2000~2017 年四川省新发麻风病病例的流行病学特征,为麻风病防治决策提供参考。方法搜集 2000~2017 年四川省所有新发麻风病患者的资料,采用 SPSS 19.0 软件对其流行病学特征进行统计分析。结果2000~2017 年全省新发麻风病例 3 082 例,其中男性 2 197 例(71.28%),女性 885 例(28.72%);儿童病例(≤14 岁)82 例(2.66%);2 级畸残者 614 例(19.92%)。男性麻风病患者平均年龄大于女性(41.64±14.26 vs. 38.89±15.12 岁,P<0.05)。男性麻风病患者 2 级畸残率高于女性(20.94%vs. 17.40%,P<0.05)。麻风病发现方式以自报为最多,而接触者检查组的男女比例显著低于皮肤科就诊组、自报组、线索检查组和报病组(男女比例分别为:1.57、2.38、2.88、2.48、2.37,P<0.05)。结论四川省 2000~2017 年麻风病发病率呈现逐年下降趋势,高流行地区、男性新发病例下降更为显著。女性麻风病患者初诊年龄更年轻,畸残情况更少。发现方式以自报为最多,女性发现方式更为被动。

ObjectivesTo analyze epidemiological characteristics of leprosy in Sichuan province from 2000 to 2017.MethodsCase data of all new leprosy patients in Sichuan province from 2000 to 2017 were collected. A retrospective analysis of its epidemiological characteristics was performed by using SPSS 19.0 software.ResultsA total of 3 208 cases of leprosy were detected during 2000 to 2017, of whom 2 197 (71.28%) were male, 885 (28.72%) were female. The younger cases whose ages were less than 14 were 82 (2.66%), and the cases with grade 2 disabilities were 614 (19.92%). The mean age of male was older than female (41.64±14.26 vs. 38.89±15.12 years, P<0.05). The grade 2 disability rate of male was significantly higher than that of female (20.94%vs. 17.40%, P<0.05). Self-report was the most common method of discovery. But the ratio of male who were detected through contact examination was significantly lower than that detected through dermatological clinic, self-report, clues check and report (the ratio of male to female was 1.57, 2.38, 2.88, 2.48, 2.37, respectively,P<0.05).ConclusionsThe case detection of leprosy declines annually in Sichuan province from 2000 to 2017, especially in high-endemic area and male patients. Female patients are younger than male patients when they are detected. The grade 2 disability situation of male patients is significantly more serious than that of female patients. Self-report is the most common way of discovery, while women are more passive.

关键词: 四川省; 麻风病; 流行病学; 特征

Key words: Sichuan province; Leprosy; Epidemiological; Characteristics

引用本文: 刘杨英, 李巍, 宁湧, 王皓. 四川省 2000~2017 年麻风病流行病学特征分析. 中国循证医学杂志, 2019, 19(1): 2-6. doi: 10.7507/1672-2531.201811060 复制

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