摘要
目的 阐明我国赴刚果 (金 )维和医疗分队疟疾发病与感染情况 ,评价预防措施效果 ,为疟疾预防研究和后续向非洲派遣人员的疟疾预防提供参考。方法 观察 2 0 0 3年 4月～ 12月我国首支维和医疗分队共 4 3人 (男 30人 ,女 13人 )在刚果 (金 )的疟疾感染与发病情况。所采取的预防措施为防蚊灭蚊和对易感者行药物预防 ,包括整治环境 ,使用驱蚊器、灭蚊灯和氯氰菊酯等 ,以降低营区内蚊虫密度 ,使用防疟 3号和双氢青蒿素对人员进行预防。定期行血液疟原虫检查 ,阳性并无临床症状者为感染 ,阳性且有临床症状者为发病。结果 室内蚊虫密度明显降低。4 3人中有 3人发病(男 2人 ,女 1人) ,发病率为 6 98% ,与同一战区的其他国家维和分队比较 ,我分队发病率最低。但疟原虫感染率较高 ,达 90 70 %。结论 我分队在刚果 (金 )维和期间采取的降低蚊虫密度和选用防疟 3号、双氢青蒿素作为疟疾发病的预防措施是有效的。
Objective To clarify malaria infection and the incidence in first Chinese medical team of United Nation peacekeeping mission in Democratic Republic of Congo and evaluate the effect of prevention measures so that provide reference for studying on malaria prevention and the precautionary measures for the follow-up personnel in Africa. Methods 43 cases (male 30, female 13) were observed between Apr. and Dec. 2003 when they were deployed in D.R.of Congo. Eliminating mosquito was used to decrease the density, including the usage of driving mosquito machine, killing mosquito lamp and chlorine cyanogens chrysanthemum ester, ”Prevent malaria-3”and COTECXIN as the precautionary medicines. Plasmodiums in blood were checked periodically. The cases with positive result of blood test and without clinical symptom was considered as infection, otherwise as disease with symptom appeared. Results The density of mosquito in house decreased. 3 cases (male 2, female 1) suffering from malaria, the incidence was 6.98%. Plasmodium was found in 39 individuals (male 26, female 13), the infection rate was 90.70%. The incidence was the lowest compared with contingents from other countries. Conclusion It was effective that these measures taken by reducing mosquito density and ”Prevent malaria-3”and COTECXIN usage in Chinese medical team during peacekeeping mission .
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2004年第10期915-916,共2页
Medical Journal of Chinese People's Liberation Army
