- 作者: 范秉真; 徐郁坡; 趙大衛; 劉和榮; 李金木; 鄭峰鶯
- 作者服務機構: 國立陽明醫學院寄生蟲學科及榮民總醫院醫學研究部寄生蟲研究室
- 中文摘要:
小金門血絲蟲病之防治,採用海喘散包衣食鹽法,於 63 年 7~12 月間實施。大金門血絲蟲
病之防治,在民國 63~65 年實施綜合防治法(海喘散治療帶蟲者及噴射殺蟲劑管制蚊子幼蟲)
,于 66 年 3~9 間改用海喘散包衣食鹽防治法,為追?調查防治成果,謹將過去 12 個月(68年
6 月至 69 年 5 月)在大小金間從事血液調查及體格檢查之結果簡介於下:
1. 在大金門 54 所政府機關,5所中學及1所育幼院中,利用靜脈抽血及膜濾法共檢查
3,233人,結果均屬陰性。
2. 在大小金門5鄉鎮,91村里,以上述方法檢查防治前血絲蟲帶蟲者 806 人,檢驗結果
亦均屬陰性。
3. 在大小金門 5 鄉鎮 69 村里,對防治前血絲蟲帶蟲者 510 人實施體格檢查,具有血絲蟲
病臨床症狀者 77 人,症狀率為 15.1%,較防治前減少 47 人(防治前 124 人具有症狀,症狀率為
24.3%),因此,症狀減低率平均為 37.9%。r - 英文摘要: The present study was performed from June1, 1979 to May 31, 1980. The purpose is forfurther follow-up observations of bancroftianfilariasis control by DEC medicated salt onKinmen (Quemoy) Islands. The results obtainedare summarized as follows: 1. A total of 3,233 venous blood sampleswas taken from a nursing house, five high schoolsand 145 villageso No microfilarial carrier wasfound by nuclepore membrane filtrationtechnique. 2. The venous blood was collected from806 pre-control microfilarial carriers in 91villages, and examined by Nuclepore membranefiltration technique, all of them were showednegative. 3. Physical examination on 510 precontrolmicrofilarial carriers in 69 villages was per-formed, it was noted that 77 out of 124 carrierswere demonstrated as clinical cases. Compara-tively, the clinical manifestations disappearedcompletely from 47 cases, giving the clinicalreduction rate of 37.9 per cent. 4. Analysis of the obtained physical figuresfrom 126 pre-and post control clinical cases wasmade, the clinical manifestation disappeared in39.7%; improved, 17.4%; there was no changein 39.7%. But newly occurred in 1.6%; and1.6% increased in severity. In general, the DEC medicated salt is mostrapidly in the elimination of circulating microfil-ariae and more slowly on the adult worms.Moreover, it is also effective to the acute andsubacute stages of clinical manifestations, butno effect to the chronic elephantiasis.
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