中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (1): 21-25.doi: 10.12144/zgmfskin202201021

• 论著 • 上一篇    下一篇

1998-2018年陕西省麻风流行病学现状分析

李鸽1*,张虹2*,张清平1，2,陈平1,王耀斐2,宋运龙2,蔺兆星1,杨晓栋1,王冠2   

  1. 1陕西省地方病防治研究所，西安，710003;
    2陕西省皮肤性病防治所，西安，710003
    *共同第一作者
  • 出版日期:2022-01-15 发布日期:2021-11-01
  • 通讯作者: 张清平，E-mail: 702068909@qq.com；陈平，E-mail: chenping109@qq.com

Epidemiological situation of leprosy in Shaanxi Province from 1998 to 2018

LI Ge1*, ZHANG Hong2*, ZHANG Qingping1,2, CHEN Ping1, WANG Yaofei1, SONG Yunlong2, LIN Zhaoxing1,YANG Xiaodong1, WANG Guan2   

  1. 1 Shaanxi Provincial Institute for Endemic Disease Control, Xi'an 710003, China; 
    2 Shaanxi Provincial Institute for Skin Disease and STD Control, Xi'an 710003, China
    *Co-first author
  • Online:2022-01-15 Published:2021-11-01
  • Contact: ZHANG Qingping, E-mail: 702068909@qq.com; CHEN Ping, E-mail: chenping109@qq.com

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摘要： 目的：了解陕西省1998-2018年麻风的流行病学现状。方法：通过全国麻风防治管理信息系统(LEPMIS)收集陕西省1998-2018年麻风患者资料，采用SPSS 19.0软件对新/复发病例年发现率、年患病率等相关因素进行χ2检验。结果：陕西省1998-2018年共发现新、复发麻风542例，年发现率从1998年的0.092/105下降到2018年的0.029/105，年患病率从10.309/105下降到0.134/105，均呈下降趋势。477例新发麻风，2例14岁儿童病例，148例(31%)为2级畸残。新发病例的平均诊断延迟期2018年（47.6个月）比1998年（64.0个月）减少25.63%。结论：陕西省麻风流行状态总体呈下降趋势，但2级畸残率高且出现儿童病例，需继续强化麻风的早期诊断和治疗，缩短诊断延迟期，降低畸残率。

关键词: 陕西省, 麻风, 流行病学

Abstract: Objective: To investigate the epidemiological situation of leprosy in Shaanxi Province from 1998 to 2018. Methods:The data of new and recurrent leprosy patients in Shaanxi from 1998 to 2018 were collected through the National Leprosy Management Information System (LEPMIS).  The related factors such as annual detection rate, annual prevalence rate and so on were analyzed by χ2 test of SPSS 19.0 software. Results: A total of 542 new and recurrent leprosy patients were found in Shaanxi from 1998 to 2018. The average annual detection rate declined from 0.092/105 in 1998 to 0.029/105 in 2018, and the average annual prevalence rate declined from 10.309/105 to 0.134/105, showing a downward trend. Of 477 new leprosy patients, 2 were 14-year-old children, 31% was grade 2 disability. The average delay in diagnosis of new cases decreased by 25.63% from 1998 (47.6 months) to 2018 (64 months). Conclusion: The prevalence of leprosy in Shaanxi was generally declining, but with a high level 2 disability ratio and the cases occur in children. Early diagnosis and treatment of leprosy need to be continued to strengthen in order to shorten diagnostic  delay of and reduce the disability ratio.

Key words: Shaanxi Province, leprosy, epidemiology