• 作者： 范秉真; 徐郁坡; 劉和榮; 李金木; 詹家璽; 鄭?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： 為進一步評定海喘散包衣食鹽對金門血絲蟲病防治後 4～7 年之效果，過去一年間（69年6月1日至70年5月31日）在金門縣5個政府機關，7所中學及56村里進行血液及體格檢查，現將結果簡述於下： 1. 應用靜脈抽血及膜濾法檢查公務員及中學生 3,789 人及防治前血絲蟲患者 847 人，結果均屬陰性。 2. 在58村里對760位防治前血絲蟲患者進行體格檢查，其中165位在防治前具有臨床症狀 (21.7%)，目前仍具有症狀者計 102位 (13.4%)，另63位症狀完全消失，其症狀消失率為38.2%。 3. 166位 (1位防治後新患者)臨床症狀分析之結果：無變化者67人 (40.4%)，症狀完全消失者65人(39.2%)，進步者28人 (16.8%)，增劇者5人(3%)及新發生者1人(0.60/o)。 4. 臨床症狀之消失率，以陰囊水腫 (87.5%)及淋巴管炎 (66.7%)最高，淋巴腺腫大 (56.9%)。
• 英文摘要： For further evaluation of control of ban-croftian filariasis by common salt medicatedwith diethy1carbamazine (DEC) on Kinmen(Quemoy) Islands, the venous blood sampleswere taken from the pre-control microfilarialcarriers (PCMC). In the same time, the physi-cal examination on the PCMC was also per-formed from June 1, 1980 to May 31, 1981.The results obtained are summarized as follows: 1. Seven years post-filariasis control onLittle Kinmen (Leihyu District) 447 venousblood samples including 165 PCMC and 282public workers and high school students wereexamined by the Nuclepore Membrane Filtra-tion Technique (NMFT), no microfilaral carrierswere found. 2. Four years post-control measures onKinmen Proper with DEC medicated salt, 4,189venous blood samples including 682 PCMC and3,507 public workers and high school studentswere examined by the NMFT, all of themshowed the negative results. 3. Physical examination on 760 PCMC wasperformed, 165 carriers were demonstrated asthe clinical cases before control, the clinicalmanifestations completely disappeared from 63cases, giving the clinical reduction rate of 38.2%. 4. Analysis of the clinical data obtainedfrom 166 clinical cases of filariasis was done,it showed that the clinical manifestations weredisappeared in 39.2%, improved in 16.8%, andno change in 40.4%; but newly occurred in0.6% and 3% increased in severity. In general, the DEC is not only effectiveto the microfilariae and adults，but also affec-tive to the acute and subacute stages of clini-cal manifestations except to the chronic tageof elephantiasis.
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