摘要
甘肃省1949~1990年累计发现麻风4669例,其中男3273例,女1396例(2.34:1);L 3596例、B 36例、T 966例、I 71例;治愈3331例,复发246例,再次治愈195例;除去死亡等减少,至1990年底尚有现症病人130例。发病率最高为1950年2.281/10万,患病率最高为1965年0.178‰,到1986年分别降至0.077/10万和0.002‰,降幅分别为96.62%和98.88%。约75%的病人分布在陇南、甘南、临复三个地州。主要防治对策是早发现、早治疗。流行下降与防治对策呈平行关系,表明防治效果显著。世根据挪咸脉风消灭的因素分忻,尚需考虑同类因素的作用。病人呈集簇状分布和多菌型病例高达77.79%是主要的流行特点,其形成因素有待探讨。
Since 1949,4669 cases of leprosy were registered accumulatively in Gansu Province,including 3273 men and 1396 women; 3596 lepromatous,36 borderline,966 tuber-cuoloid and 71 indeterminate ones.3331 cases had been cured,of which 246 relapsed.There still were 1 30 active cases of leprosy at the end of 1 990.The incidence decreased from 2.28/1 00,000 (1950) to 0.077/100,000 (1986).Seventy five per cent of the patients live in Longnan,Gan-nan and Linxia Prefectures.Besides the action of leprosy control,by the authors opinion,development of the local economy might also be one of the important factors caused the decrease in the number of leprosy patients.