摘要
目的分析可疑症状监测系统在四川省麻风病早期病例发现中的成效。方法回顾性对比分析四川省各项目县于2015年1月1日开展可疑症状监测系统项目以来,开展前三年(2012～2014年)与后三年(2015～2017年)的麻风病新发病例的流行病学和临床特征。对比项目开展前后新发病例的2级畸残率、平均延迟期和发现方式等流行病学指标,麻风病型别、皮肤损害、神经损害和麻风反应等临床特征。结果 2015～2017年,各项目县麻风新发病例下降19例,2级畸残率下降3. 62%。病例发现的平均延迟期显著下降,项目开展后麻风病例中MB显著增加,差异均有统计学意义(P <0. 05)。结论四川省麻风病可疑症状监测系统促进麻风病早期发现工作,降低2级畸残率,缩短病例发现延迟期,值得进一步在全省推广。
Objective To investigate the effectiveness of suspicious symptom monitoring system in early case detection of leprosy in Sichuan province.Methods A retrospective study was performed to analyze the epidemiological and clinical features of leprosy during 2012-2014,three years prior to implementation of the system,and during 2015-2017,three years after implementation of the system in the counties in Sichuan province.The epidemiological indexes such as grade 2 disability rate,average delay period and mode of discoveryand clinical features such asleprosy skin damage,nerve damage and leprosy response were compared before and after implementation of the system.Results After the application of the system,the number of new cases was decreased by 19 cases,grade 2 disability proportion of new cases was declined 3.6 2%,and the average delay period was decreased significantly while the proportion of multi-bacillary leprosy(MB)was increased significantly during 2015-2017(P<0.05).Conclusion The application of suspicious monitoring system improved the early case detection of leprosy in Sichuan province,reduces the grade 2 disability proportion and shortens the delay period.This system is worth applying widely in Sichuan.
作者
刘杨英
宁湧
王皓
汪红
LIU Yang-ying;NING Yong;WANG Hao;WANG Hong(Department of Dermatology,Institute of Dermatology and Venereology,Sichuan Academy of Medical Science & Sichuan Provincial Peopled Hospital,Chengdu 610031,China)
出处
《实用医院临床杂志》
2019年第2期185-187,共3页
Practical Journal of Clinical Medicine
关键词
麻风
症状监测系统
Leprosy
Suspicious symptom monitoring system
