【2017年整理】在云贵川麻风高流行县(市)开展LEC的效果.docx.docxVIP

网址： HYPERLINK 第 PAGE 1 页，共 NUMPAGES 1 页 在云贵川麻风高流行县(市)开展LEC的效果 在云贵川麻风高流行县(市)开展LEC的效果 中华皮肤科杂志 2000年第0期第33卷 论著 作者：李文忠　沈建平　江澄　陈家琨　陈祥生　胡鹭芳　叶福昌　杨军　余美文 单位：李文忠　沈建平　江澄　陈祥生　余美文（南京，中国医学科学院　中国协和医科大学皮肤病研究所　全国性病 麻风病控制中心　210042）；陈家琨（上海市遵义医院）；胡鹭芳（四川省皮肤性病防治研究所）；叶福昌（贵州省皮肤病防治研究所）；杨军（云南省皮肤 病防治研究所） 关键词：麻风传染病控制消除麻风运动 ?【摘要】目的评价在麻风高流行县（市）开展消除麻风运动，结合常规病例发现工作发 现麻风病例的效果。方法广泛开展社区的麻风健康教育，培训基层医务人员的麻风防治技能 ，开展麻风线索调查和接触者检查，确诊和治疗患者。结果6个麻风高流行县（市）1999年 发现122例新发病例，发现率为3.7/10万，比过去3年年均发现病例数（67例）和发现率（2/ 10万）高近1倍，其中家庭内接触者发病占47％。结论消除麻风运动结合常规病例发现工作 可促进社区摶?共±龜的发现。在麻风流行较严重地区，尤其在远离县城和难以到达的村 庄，在进行充分健康教育和社区培训的基础上，采用主动和被动相结合，通过皮肤科门诊、 接触者检查和线索调查可发现绝大多数病例。 Evaluation of Effectiveness in implementing Leprosy Elimination Campaigns in High Leprosy? Epidemic Areas in Yunnan, Guizhou and Sichuan Provinces LI Wenzhong　 SHEN Jianping　 JIANG Cheng　 et al （Institute of Dermatology, Chinese Academy of Medical Sciences ＆ Peking Union Medical College, Nanjing 210042） 【 Abstract】 Objective To evaluate the effectiveness of Leprosy Elimination Compaigns (LEC) integrated with routine case finding of leprosy in the high leprosy? epidemic areas in Yunnan, Guizhou and Sichuan Provinces. Methods Extensive　health education of leprosy in the community, training of paramedical workers on leprosy, clue survey and contact survey were　carried out to make diagnosis and provide treatment. Results A total of 122 new leprosy cases were detected in 6 high　leprosy? epidemic counties through LEC in 1999 with a detection rate of 3.7/100 000, but in contrast, the annual number of　newly detected leprosy cases was 67 cases with an average detection rate of 2/100 000 during the period of 3 years before　LEC. Among the newly detected leprosy cases, about 47％ were leprosy household contacts. Conclusion LEC combined with routine activities of case finding can improve the detection of the back? log cases in the communities. In the high　epidemic areas, especially in the remote and difficult?