中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (1): 22-26.doi: 10.12144/zgmfskin202301022

• 论著 • 上一篇    下一篇

2000-2021年甘肃省新发麻风病例流行病学特征分析

冯淑梅,吴珊,孙丽姣,张宏茂   

  1. 甘肃省疾病预防控制中心，兰州，730000
  • 出版日期:2023-01-15 发布日期:2022-11-28

Analysis of epidemiological characteristics of the new patients of leprosy from 2000 to 2020 in Gansu Province

FENG Shumei, WU Shan, SUN Lijiao, ZHANG Hongmao   

  1. Gansu Provincial Center for Disease Control and prevention, Lanzhou 730000, China
  • Online:2023-01-15 Published:2022-11-28

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摘要： 目的：分析2000-2021年甘肃新发现麻风病例流行病学特征与规律，为麻风防控策略的制定提供依据。方法：描述性分析2000-2021甘肃省在全国麻风防治管理信息系统中上报的新发现麻风病例资料。结果：2000-2021甘肃麻风新发病例，年发现率从0.056/105降至0.008/105，年患病率从0.17/105降至0.06/105。共报告新发病例133例，其中男87例， 女46例。复发病例共8例，儿童病例4例。2级畸残42例（2级畸残比31.6%），平均延迟期47.70个月。早期发现占12.78%，发现方式以自报和报病为主（80例，占60%），通过接触者检查发现占6.02%,传染源来自家内的病例占31.58%，传染来源不明的占64.66%。平均发病年龄（40.65±13.84）岁，新发病例均为本土病例。全省14个市州有8个市（州）有新病例报告，分布在31个县（区、市）。陇南市报告的病例数占甘肃省报告病例总数的60%，平凉、庆阳、甘南3个市（州）报告病例数占甘肃病例总数的28.6%，病例以散发为主。结论：甘肃报告新发病例数呈缓慢下降趋势，新发病例平均诊断延迟期较长，2级畸残比高，需要继续加强防治工作，提高控制质量。

关键词: 麻风, 新发病例, 流行特征

Abstract: Objective: To analyze the epidemiological characteristics and regularities of the new lepers from 2000 to 2021 in Gansu Province, and to provide the reference for leprosy prevention and control strategies. Methods: Descriptive analysis of the data of the new patients of leprosy in Gansu Province reported in the Leprosy Management Information System in China from 2000 to 2021. Results: The annual detection rate of the new lepers in Gansu Province from 0.056/105 to 0.006/105 from 2000 to 2021. The annual prevalence decreased from 0.17/105 to 0.06/105.  A total of 133 new lepers were reported, including 87 males and 46 females, and there were 8 recurrent lepers and 4 children lepers. There were 42 cases of grade 2 deformity (grade 2 deformity rate was 31.6%), and the average delay period was 47.7 months. Early detection accounted for 12.78%, the main methods of detection were self-report and disease reporting (80 cases, accounting for 60%), 6.02% were found through contact inspection, the cases with the source of infection from home accounted for 31.58%, and the cases with unknown source of infection accounted for 64.66%. The average age of new lepers was (40.65±13.84). The new cases were all local cases. Eight of the 14 cities and states in the province reported new cases, were distributed in 31 counties. The number of lepers reported in Longnan City accounted for 60% and in Pingliang, Qingyang and Gannan cities accounted for 28.6% of the total in Gansu Province, and the cases were mainly sporadic cases. Conclusion: The number of new lepers reported in Gansu Province shows a slow downward trend. The average delay period of diagnosis of new lepers is long, and the ratio of grade 2 deformity and disability is high. It is necessary to strengthen the prevention and control work.

Key words: leprosy, new cases, epidemiological characteristics