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目的调查赴非洲返回劳务人员疟疾发病情况,探索阻止输入性疟疾在当地传播的有效方法。方法建立赴非洲务工返回人员登记管理制度,开展流行病学调查,对现症病人、带虫者、既往有疟史者给予不同服药方案的治疗,随访治疗效果与周围当地人群疟疾发病情况,资料用Excel进行统计分析。结果共调查120名赴非洲几内亚务工回国人员,外出期间疟疾患病率90.83%,回国后发病率24.17%。抗疟药物治愈率为:双氢青蒿素哌喹片93.75%,氯伯8d疗法76.46%,青蒿琥酯42.86%。伯氨喹休止期服药有效率90.70%。结论赴非洲劳务人员外出期间疟疾患病率高,回国后复发率高,需加强管理;规范服用抗疟药物治疗效果可靠,休止期服药效果肯定,综合性控制措施可以有效控制输入性病例在当地引起的传播。
Objective To investigate the incidence of malaria among returnees in Africa and explore effective ways to prevent the spread of imported malaria. Methods To establish a registration and management system for returnees going to work in Africa and carry out epidemiological investigation, to treat patients with existing diseases, worms and past malaria patients with different medication regimens, follow-up treatment effect and incidence of malaria in local populations, data Using Excel for statistical analysis. Results A total of 120 returnees to Guinea, Africa, were surveyed. The prevalence rate of malaria was 90.83% during their trip abroad, and their incidence was 24.17% after returning home. The cure rates of antimalarial drugs were: 93.75% of dihydroartemisinin and of fentanyl, 76.46% of 8 weeks of chlorine and 42.86% of artesunate. Primaquine discontinued medication 90.70% effective. Conclusion The prevalence of malaria during the trip to Africa is high, and the recurrence rate is high after returning home. The administration of antimalarial drugs should be standardized and reliable. The effect of taking drugs in the period of remission should be affirmed. The comprehensive control measures can effectively control the imported cases Caused by the spread.