医院就诊患者肠道寄生虫感染状况调查

目的 了解医院就诊患者肠道寄生虫感染情况及临床特点,为健康状态的评估和采取有效防控措施提供依据.方法 对2010～2011年39 671例在广西医科大学第一附属医院就诊患者进行肠道寄生虫的病原学检查,并分析阳性患者的感染情况.结果 共查出感染者5 751例,总感染率为14.50％.检出8种寄生虫,感染率分别为华支睾吸虫5.96％、蛔虫0.45％、鞭虫0.24％、钩虫2.46％、溶组织内阿米巴0.82％、人芽囊原虫3.91％、蓝氏贾第鞭毛虫0.65％、人毛滴虫0.09％.男性感染率为16.78％,女性为10.77％,男性显著高于女性(P＜0.001); 30～岁组感染率最高,为24.19％;感染者大多有不良饮食习惯和或卫生习惯；感染者临床表现复杂多样、无特异性.结论 医院就诊患者土源性线虫感染率较低,但华支睾吸虫和人芽囊原虫感染率较高,是今后防治的重点,除早期诊断和药物治疗患者外,还应加强宣教工作力度,提高人群的疾病预防意识.

Survey of intestinal parasitic infections in hospitalized patients

Objective To investigate the prevalence and clinical characteristics of intestinal parasite infection in the patients admitted in this hospital.Methods Parasites in 39 671 hospitalized patients in the outpatients of Affiliated Hospital of Guangxi Medical University from Jan.2010 to Dec.2011 were detected.The positive results was analyzed.Results Infection was detected in 5 751 patients,the overall infection rate was 14.50%.8 parasite species were found,the infection rate was 5.96% in Clonorchis sinensis,0.45% in Round worm,0.24% in Whip worm,2.46% in Hook worm,0.82% in Entamoeba histolytica,3.91% in Blastocystis hominis,0.65% in Giardia lamblia,0.09% in Trichomonas hominis.The infection rates were 16.78% and 10.77% in males and females respectively,the former was much higher than the later（P0.001）.The infection rates were the highest in 30～40 age group which were 24.19%.Most of the infected patients had harmful dietary or hygiene habbits.Clinical manifestation was complicated and not special.Conlusion The infection rate of soil nematode sex is low,but high in Clonorchis sinensis and Blastocystis hominis.We should advocate the education to promote disease prevention except early diagnosis and medicine control.