中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (1): 6-10.doi: 10.12144/zgmfskin202301006

• 论著 • 上一篇    下一篇

2011-2020年山东省麻风病例早期发现综合措施效果评价

初同胜,刘殿昌,槐鹏程,刘健,张福仁   

  1. 山东第一医科大学附属皮肤病医院（山东省皮肤病医院），山东省皮肤病性病防治研究所，济南，250022
  • 出版日期:2023-01-15 发布日期:2022-11-25

Assessment of early detection activities of leprosy cases in Shandong Province during 2011-2020

CHU Tongsheng, LIU Dianchang, HUAI Pengcheng, LIU Jian, ZHANG Furen   

  1. Shandong Provincial Hospital for Skin Diseases & Shandong Provincial Institute of Dermatology and Veneorology, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2023-01-15 Published:2022-11-25

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摘要： 目的：通过比较历年新发麻风病例2级畸残比，评价我省综合防治措施在麻风病例早期发现中的作用。方法：近10年来，我省相继开展了麻风可疑者筛查、密切接触者检查、大众宣传、人员培训、疑似病例转诊、省级诊断确认、报病奖励、强化转诊中心、麻风症状监测等病例发现措施。结果：我省2011-2020年共发现113例新发病例，其中男71例，女42例，平均年龄52.2岁，2例儿童病例。输入病例31例，主要来自云、贵、川等高发省份，以外来媳妇和务工人员为主。本土病例主要来自原高、中流行市县，以农民（工）为主。2011-2015年平均就诊延迟期为31.7个月，2016-2020年为13.0个月，差异有统计学意义（t=2.101, P=0.04）。2011年新发病例中G2D占比40%，2020年下降至20%。多因素分析发现，诊断延迟期超过24个月与2级畸残的发生相关。结论：我省采取的麻风病例综合早期发现措施有效降低了新发患者G2D占比。

关键词: 麻风, 早期发现, 2级畸残, 症状监测

Abstract: Objective: To evaluate the efficiency of comprehensive measures for early detection of leprosy cases in Shandong Province through comparing annual proportion of grade 2 disability among newly detected leprosy cases. Methods: In recent 10 years, active case finding activities such as rapid village survey and contacts tracing and passive case finding activities such as personnel training, public health promotion, provincial diagnosis confirmation, reward offering, strengthening of referral center and symptoms monitoring were performed. Results: A total of 113 new of leprosy cases were diagnosed from 2011 to 2020，including 71 males and 43 females, with a mean age of 52.5 years. Of 113 cases, 31 were imported cases who were mainly from Yunnan, Guizhou and Sichuan provinces with high incidence, and the majority of them were housewives and migrant workers. The local cases were mainly from the former high and middle epidemic areas, mainly peasants or unskilled labors. The average delay in diagnosis was 31.7 months from 2011 to 2015, which was 13.0 months from 2011 to 2015, with a significant difference (t=2.101, P=0.04). The annual proportions of G2D among new cases was 40% in 2011, which decreased to 20% in 2020. Conclusion: The comprehensive measures adopted in our province effectively reduced the proportion of G2D in newly diagnosed patients.

Key words: leprosy, early detection, grade 2 disability, symptom monitoring