热带病与寄生虫学

热带病与寄生虫学 ›› 2021, Vol. 19 ›› Issue (2): 89-92.

• 防治研究 • 上一篇    下一篇

上海市金山区晚期血吸虫病患者死因分析

俞瑞芳1,朱永佳2,宋灿磊1,朱建明1,赵艺明1
  

  1. 1. 上海市金山区疾病预防控制中心,上海 201599; 2. 金山区枫泾镇社区卫生服务中心
  • 出版日期:2021-04-20 发布日期:2021-04-22
  • 通信作者: 俞瑞芳,E-mail:2521713244@ qq. com
  • 作者简介:俞瑞芳,女,大专,主管医师,研究方向:血吸虫病防控。 E-mail:2521713244@ qq. com; 朱永佳,男,本科,公卫医师,研究方向:寄生虫病防控。 E-mail:ggws2017zyj@ 163. com 俞瑞芳和朱永佳同为第一作者

Analysis on the cause of death of patients with advanced schistosomiasis in Jinshan District of Shanghai City 

YU Rui-fang1,ZHU Yong-jia2,SONG Can-lei1,ZHU Jian-ming1,ZHAO Yi-ming1    

  1. 1. Jinshan District Center for Disease Control and Prevention,Shanghai 201599,China; 2. Fengjing Community Health Service Center,Jinshan District
  • Online:2021-04-20 Published:2021-04-22

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摘要： 目的 掌握金山区晚期血吸虫病(简称晚血)患者死亡的基本情况,并对死亡的原因进行分析,为科学动态管理晚血患者和制定专项救治方案提供依据。 方法 对金山区 2007—2019 年晚血患者随访数据库进行整理,对全区晚血患者死亡趋势以及历史在册晚血患者和新增晚血患者的死因进行分析。 结果 2007—2019 年,全区晚血患者病死率呈现波浪式递增趋势。 2007 年初,全区有在册晚血患者 1 121 人,2007—2019 年新增晚血患者 280 人。2007—2019 年晚血患者共死亡 643 人,男性死亡 264 例,女性死亡 379 例,死亡年龄 50 ~ 97 岁,平均死亡年龄为(76. 51±8. 45)岁。 新增晚血患者的病死率明显高于历史在册晚血患者,差异有统计学意义( χ2 = 53. 02,P<0. 01);女性病死率高于男性,差异有统计学意义( χ2 = 31. 39,P<0. 001)。 新增晚血患者死因前三位分别为血吸虫病后遗症及并发症、肝癌、心脑血管疾病,分别占 57. 92%、16. 39%、9. 29%;历史在册晚血患者死因前三位分别为心脑血管疾病、血吸虫病后遗症及并发症、其他癌症,分别占 29. 78%、18. 04%、16. 52%。 结论 2007—2019 年金山区晚血患者死亡原因主要是血吸虫病后遗症和并发症、心脑血管疾病和肝癌等,应根据病例实际情况开展有效的救治工作,建立完善的晚期血吸虫病患者关怀体系。

关键词: 晚期血吸虫病, 死因, 金山区

Abstract: Objective To understand the basic information of death of patients with advanced schistosomiasis in Jinshan district,and analyze the causes of death for evidences to scientifically plan dynamic management strategies and specific treatment program for such patients. Methods The information was retrieved through follow-up of database of patients with advanced schistosomiasis from 2007 to 2019 in Jinshan district. The causes of death were analyzed pertinent to the death trend in patients with advanced schistosomiasis as well as the registered advanced cases in history and newly diagnosed advanced cases across the district. Results Death of advanced schistosomiasis patients was increased in fluctuant fashion in Jinshan district from 2007 to 2019. In early 2007,registered advanced cases were 1 121,and newly diagnosed advanced patients were 280 between 2007 and 2019. Totally,643 patients died of advanced schistosomiasis during 2007-2019,in whom 264 were males and 379 females. The age of the dead ranged from 50 to 97 years old,with a mean age of (76. 51±8. 45) years. The mortality was significantly higher in the newly diagnosed advanced patients than in those of registered in history ( χ2 = 53. 02,P<0. 01),and higher in females than in males( χ2 = 31. 39,P<0. 001). The top three causes of death in newly diagnosed advanced patients were associated with sequela and complications of schistosomiasis,liver cancer and cardiovascular and cerebrovascular diseases,which accounted for 57. 92%,16. 39% and 9. 29%,respectively. The top three causes for the death of historically registered advanced patients were involved in cardiovascular and cerebrovascular diseases,sequela and complications of schistosomiasis and other cancers,which accounted for 29. 78%,18. 04%,and 16. 52%,respectively. Conclusion Sequelae and complications of schistosomiasis,cardiovascular and cerebrovascular diseases,and liver cancer were the main causes responsible for the death of advanced schistosomiasis patients in Jinshan district during 2007- 2019. This suggests that treatment of such patients should be carried out according to the real condition by establishing a sound and effective care system for patients with advanced schistosomiasis.

Key words: Advanced schistosomiasis, Cause of death, Jinshan District

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