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目的评价上林县非洲返乡疟疾住院病人治疗效果,为今后疟疾病人治疗和抢救提供科学依据。方法收集2013~2015年该县从非洲返乡人员血检实验室检验数据及疟疾住院病人临床治疗资料,采用Excel 2013软件进行数据处理分析。结果该县三年中从非洲返乡人员中血检发现疟疾病人共1 352例,血检阳性率为18.59%(1 352/7 272),住院治疗的疟疾病人共777例,占该县总病人数的57.47%(777/1352),其中恶性疟占77.22%(600/777),间日疟占11.07%(86/777),三日疟占1.54%(12/777),卵形疟占2.45%(19/777),各类型混合感染占1.42%(11/777),其中脑型疟病人11例。经青蒿琥酯等药物治疗和抢救后全部疟疾病人治愈出院,无疟疾死亡病人发生。结论青蒿琥酯在治疗和抢救疟疾病人中具有较好的作用,未出现疟疾死亡病人,当地居民中未发现继发性疟疾病人,有效保证了当地居民及返乡疟疾病人的身心健康。
Objective To evaluate the treatment effect of malaria inpatients returning to Africa in Shanglin County and provide a scientific basis for future treatment and rescue of malaria patients. Methods Data of blood test laboratory and clinical data of malaria inpatients from 2013 to 2015 in this county were collected and analyzed by Excel 2013 software. Results A total of 1 352 cases of malaria were found in the blood samples collected from African returnees in the county over the three years. The positive rate of blood tests was 18.59% (1 352/7 272). A total of 777 malaria patients were hospitalized, The number of patients was 57.47% (777/1352), of which 77.22% (600/777) were Plasmodium falciparum, 11.07% (86/777) of Plasmodium vivax, 1.54% (12/777) of Plasmodium malaria, Accounting for 2.45% (19/777), all kinds of mixed infections accounted for 1.42% (11/777), including 11 cases of cerebral malaria. After artesunate and other drugs and rescue treatment of all malaria patients were discharged, no malaria deaths occurred. Conclusions Artesunate has a good effect on the treatment and rescue of malaria patients. No malaria deaths were found. No cases of secondary malaria were found among local residents, and the physical and mental health of local residents and returning malaria patients was effectively guaranteed.