摘要
文山州1983～1992共发现90例儿童麻风,其中家内传染者占63.2％,其传染源84.2％为多菌型;于确诊时病期在两年内者(91.9％)明显多于成人者(45.3％),而畸残率(4.4％)和MB/PB(0.45)均低于成人者(28.0％和1.29)。家内传染的儿童麻风以主动发现为主,其中家属检查发现的占70.2％;家外传染者与成人相似,大部份(>80％)为被动发现,其中以皮科门诊发现较多(48.5％)。 近十年文山州麻风的患病率及发病率持续下降,而儿童发病者却呈增多的趋势,表明麻风流行尚未得到控制。
Ninety children with leprosy have been detected during the period of 1983 to 1992 in Wenshan Prefecture, Yunnan. Among them those who have been householdly infected make up 63. 2% ,the source of infection was lepromatous case in 84. 2% ,the disease duration is less than two years in 91. 9% and shorter than that of adult cases (45. 3% ) ,the disability rate and the MB/PB value are 4. 4% and 0. 45 respectively and lower than 28. 0% and 1. 29 in the adult. 70. 2% of householdly infected children were detected at the time of examining household contacts but over 80% of those who have been infected outside the household were passively detected as adult cases. In the last ten years the prevalence and the incidence of leprosy have been decreasing but the childhood patients showed an increasing trend, indicating that the endemicity of leprosy is not controlled yet.
