高州市城乡儿童连续次采样检测蛲虫卵结果比较分析张启明.docVIP

高州市城乡儿童连续3次采样检测蛲虫卵结果比较分析 张启明1，邓卓晖1，阮彩文1，卢文成1，周东旋2，张锋华2 （1．广东省疾病预防控制中心，广东广州511430；2.高州市疾病预防控制中心，广东高州525200） 摘要:[目的]对高州市城乡儿童连续3次蛲虫采样检测结果进行分析比较，以探讨检测次数增加对蛲虫卵检出率的影响。[方法]采用透明胶纸肛拭法,连续3次采样，并送实验室镜检虫卵。[结果]共检测儿童818人，连续3次采样检测结果蛲虫阳性率分别为37.29%、47.68%、55.01%。不同检测次数阳性率之间差异有统计学意义（P0.001）。[结论] 在儿童蛲虫感染率比较高地区，检出率与检测次数有明显关系，检测次数增加则检出率升高。 关键词：蛲虫；检测；感染率 Comparison and analysis on the results of pinworm examination with 3 times’ consecutive samplings for children in the urban and rural areas of Gaozhou city ZHANG Qi-ming, DENG Zhuo-hui, RUAN Cai-wen, ZHOU Dong-xuan, ZHANG Feng-hua (Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, Guangdong; Center for Disease Control and Prevention of Gaozhou City, Gaozhou 525200, Guangdong) Abstract: Objecive Comparison and analysis were conducted on the results of pinworm examination with 3 times’ consecutive samplings for children in the urban and rural areas of Gaozhou city to explore the influence of examination times on the detection rate of pinworm infection. Methods 3 times’ consecutive samplings were done by cellophane tape method and the samples were delivered to laboratory for microscopic examination. Results Totally 818 children were examined and the positive rates of pinworm for 3 times’ consecutive samplings were 37.29%, 47.68% and 55.01%, respectively. The difference between different examination times has statistically significant meaning (P0.001). Conclusion In the regions with high pinworm infection rates, there was significant correlation between the detection rate and examination times, the detection rate increasing with examination times. Keywords: Pinworm; Examination; Infection rate 蛲虫感染遍及全世界，我国感染十分普遍，是影响儿童健康发育的常见寄生虫之一。蛲虫一般在夜间移行至肛门产卵，所以粪便检查虫卵阳性率极低，常用的诊断方法有透明胶纸肛拭法、牛皮纸圆形孔胶带纸粘贴法及棉拭漂浮法等[1]，其中透明胶纸肛拭法应用较普遍。由于蛲虫在肛门产卵，容易受人为因素（早晨清洗肛门、跑步、如厕和采样时间选择等）影响而降低检出率，因此，在开展儿童蛲虫调查时，建议宜选择多次采样检测，但国内对检出率与检测次数关系研究报告很少。为进一步探讨增加检测次数对蛲虫检出率的影响，我们于2011年对高州市部分儿童采用连续3次采样检测，结果比较分析如下。 1 材料与方法 1.1 人群选择 以高州市区为中，东、西、南、北各抽划分5片，每