ABSTRACT
OBJECTIVE: To understand the current status of advanced schistosomiasis patients, so as to provide the reference for improving the medical care of them in Shanggao County. METHODS: The data of advanced patients in Shanggao County were collected from the Information Management System for the Advanced Schistosomiasis Chemotherapy and Assistance in Jiangxi Province, and a field survey including the epidemiological investigation, physical examinations, and B ultrasound examinations was performed in 2014. All the data were analyzed statistically and compared with those in 2010. RESULTS: Among the 128 advanced schistosomiasis patients, the male:female ratio was 2.46: 1, the average age was 68.02 ± 6.19 years, and the patients older than 65 years contributed to 64.84% for the all. The proportions of clinically types of ascites, splenomegaly, multiple granuloma in the colon, dwarf, general, and haemorrhage were 57.81%, 12.50%, 2.34%, 0, 26.57%, and 0.78%, respectively. The ultrasound examinations revealed the average diameter of the main trunk of portal vein was 12.70 ± 1.91mm in 2014, which was significantly broader than that of 12.05 ± 0.34mm in 2010 (P < 0.01). CONCLUSIONS: The advanced schistosomiasis patents in Shanggao County decreases with years and shows an aging trend. Some advanced schistosomiasis patients are worse; therefore the chemotherapy and salvation work still should be strengthened.
Subject(s)
Schistosomiasis/epidemiology , Adult , Aged , China/epidemiology , Female , Humans , Male , Middle Aged , Schistosomiasis/mortality , Schistosomiasis/pathologyABSTRACT
OBJECTIVE: To understand the status of chemotherapy and assistance for advanced schistosomiasis patients in Xinjian County, 2005-2009. METHODS: The data of chemotherapy and assistance for patients with advanced schistosomiasis in Xinjian County from 2005 to 2009 were collected and analyzed statistically by using The Information Management System for Advanced Schistosomiasis Chemotherapy and Assistance in Jiangxi Province. RESULTS: Among 636 cases, the sex ratio of male to female was 1.19: 1, and the average age was 61.52 +/- 11.2 years old. Ascites was the main symptoms of patients (93.71%), and the percentage of splenectomized ones was 32.38% among them. The IHA-positive rate, HBsAg-positive rate and repeat treatment rate were 31.6%, 24.37% and 44.50%, respectively. The clinical cure rate, recovery rate and death rate were 43.53%, 55.94% and 5.97%, respectively. CONCLUSION: The advanced schistosomiasis chemotherapy and assistance improves the symptoms and life quality of these patients.
Subject(s)
Medical Assistance/economics , Schistosomiasis/drug therapy , Schistosomicides/therapeutic use , Adult , Aged , Aged, 80 and over , China , Female , Humans , Male , Middle Aged , Quality of Life , Schistosomicides/economics , Splenectomy/economics , Treatment Outcome , Young AdultABSTRACT
OBJECTIVE: To develop the information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province. METHODS: Based on Access 2003, the system was programmed by Visual Basic 6.0 and packaged by Setup Factory 8.0. RESULTS: In the system, advanced schistosomiasis data were able to be input, printed, indexed, and statistically analyzed. The system could be operated and maintained easily and timely. CONCLUSION: The information management system for advanced schistosomiasis chemotherapy and assistance in Jiangxi Province is successfully developed.
