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对1982年~1993年扬州地区暨东台市麻风流行病学趋势作了分析。自1982年~1993年共发现757例患者,其中新发现565例。1982年前DDS单疗复发192例。分析示自1982年~1993年,每年发现病人数逐渐减少,病人发现率从1.6/10万下降到0.49/10万,新病人中瘤型比从0.39上升到0.63,新病人发现时平均年龄从40.3岁上升到45.7岁,平均延迟期逐渐缩短。但新病人中2级或2级以上畸残率及病人中儿童患者比例下降不明显。认为该地区麻风流行程度已大大减轻,但仍需要加强少数疫点的麻风防治和病人的早期发现工作,以降低新病人中畸残率及儿童麻风比例。由于每年DDS单疗复发病人占相当比例,应加强对DDS单疗及MDT治愈者的复发监测。
The epidemiological trend of leprosy in Yangzhou Prefecture and Dongtai City from 1982 to 1993 was analyzed. A total of 757 patients were found from 1982 to 1993, of which 565 were newly detected. 192 cases of DDS recurrence before 1982. The analysis showed that from 1982 to 1993, the number of patients was found to decrease gradually each year, the patient discovery rate dropped from 1.6 / 100000 to 0.49 / 100000, the new patient’s tumor type increased from 0.39 to 0.63 The average age at discovery of a new patient rose from 40.3 to 45.7 years and the average delay gradually decreased. However, the new patients with grade 2 or more than 2 cases of malformations and the proportion of patients in patients decreased not obvious. Considering that the prevalence of leprosy in the area has been greatly reduced, there is still a need to step up the control of leprosy and the early detection of patients in a few outbreaks in order to reduce the rate of malnutrition and leprosy in children. Due to the annual DDS recurrence of patients accounted for a considerable proportion of patients should be strengthened DDS monotherapy and MDT recurrence monitoring.