本文選題：文獻(xiàn)計(jì)量學(xué) + 血吸蟲病�。� 參考：《中國疾病預(yù)防控制中心》2014年碩士論文

【摘要】：本研究通過分析山丘型血吸蟲病流行區(qū)四川省2004-2012年的疫情數(shù)據(jù)、傳染源控制為主的綜合措施實(shí)施情況,了解傳染源控制為主的綜合措施在四川省取得的防治成效。通過文獻(xiàn)計(jì)量學(xué)的方法,對在中國知網(wǎng)和萬方數(shù)據(jù)庫中檢索到的有關(guān)血吸蟲病防治的文獻(xiàn)進(jìn)行分析,總結(jié)歸納血吸蟲病防治策略發(fā)展變化過程、不同時(shí)期的研究熱點(diǎn)和傳染源控制措施在實(shí)施過程中存在的障礙因素。根據(jù)文獻(xiàn)總結(jié)的障礙因素初步建立障礙因素框架,并基于此設(shè)計(jì)專家咨詢問卷,通過三輪專家咨詢(德爾菲法)最終建立障礙因素指標(biāo)群,并進(jìn)一步采用小組訪談和深度訪談的方法,確定四川省傳染源控制為主的綜合防治策略在實(shí)施過程中的主要障礙因素及對策。 第一部分四川省血吸蟲病疫情及傳染源控制綜合措施實(shí)施情況的分析 通過分析2004-2012年四川省血吸蟲病疫情年報(bào)數(shù)據(jù)、傳染源控制綜合措施實(shí)施情況,結(jié)果顯示四川省主要開展了人群查治病、查滅螺等衛(wèi)生措施,以及結(jié)合農(nóng)、林、水等多部門實(shí)施了建設(shè)衛(wèi)生廁所及沼氣池、家畜圈養(yǎng)、環(huán)境改造等以傳染源控制為主的綜合性防治措施,人、耕牛疫情顯著下降,但釘螺總面積在2008-2012年基本保持不變。目前四川省處在由傳播控制到傳播阻斷的階段,需要在實(shí)施傳染源控制措施的同時(shí),重點(diǎn)關(guān)注釘螺控制問題。 第二部分中國血吸蟲病防治策略演變的文獻(xiàn)計(jì)量學(xué)研究 通過檢索血吸蟲病防治相關(guān)文獻(xiàn)以及查閱血吸蟲病防治資料匯編,將我國血吸蟲病防治歷程劃分為三個(gè)階段：第一階段(1950-1978)以消滅釘螺為主的綜合防治策略。第二階段(1979-2003)以人畜同步化療為主的綜合防治策略。第三階段(2004年至今)“以傳染源控制為主”的血吸蟲病綜合防治策略,該階段研究重點(diǎn)是血吸蟲病疫情監(jiān)測、防治策略的轉(zhuǎn)變以及傳染源控制為主的綜合策略的現(xiàn)場防治效果。 通過檢索2004-2012年“以傳染源控制為主”的血吸蟲病綜合防治策略的相關(guān)文獻(xiàn),歸納山丘型地區(qū)傳染源控制為主的血吸蟲病綜合防治策略執(zhí)行中的障礙因素框架,將障礙因素分為3個(gè)類別8個(gè)子類別28個(gè)障礙因素。 第三部分四川省“以傳染源控制為主”的血吸蟲病綜合防治策略實(shí)施中存在的障礙因素研究 根據(jù)文獻(xiàn)分析得到的障礙因素框架設(shè)計(jì)專家咨詢問卷,由專家根據(jù)問題的重要性對指標(biāo)進(jìn)行九分制評價(jià),經(jīng)過三輪專家咨詢得到3個(gè)類別8個(gè)子類別21個(gè)障礙因素并確定其權(quán)重。 根據(jù)專家咨詢確定的主要障礙因素設(shè)計(jì)了現(xiàn)場訪談提綱,采取小組訪談和深度訪談的方式,訪談對象涉及省級、市級、縣級、鄉(xiāng)鎮(zhèn)級及村級的行政官員、血吸蟲病專業(yè)防治人員和疫區(qū)群眾,訪談結(jié)果顯示目前傳染源控制策略在山丘型地區(qū)實(shí)施中存在的主要障礙因素是：(1)綜合防治資金缺乏,后續(xù)工作推進(jìn)困難(2)健康教育形式傳統(tǒng)單一,群眾審美疲勞,接受度低(3)流動人口可控性低,宣傳、查病成難點(diǎn)(4)衛(wèi)生廁所、沼氣池建設(shè)資金缺乏,本次研究所獲得的障礙因素,將為鞏固山丘型地區(qū)血防工作提供重要的線索及制定防治規(guī)劃的重要科學(xué)依據(jù)。
[Abstract]:In this study, through the analysis of the epidemic data of 2004-2012 years in Sichuan province and the implementation of the comprehensive measures based on the control of infectious sources in the epidemic area of hilly schistosomiasis, the effectiveness of the comprehensive measures based on infectious source control in Sichuan province was understood. The literature on the prevention and control of schistosomiasis, summarized and summarized the development and change process of schistosomiasis control strategy, the research hot spots in different periods and the obstacle factors in the implementation of the control measures of infectious sources. Based on the obstacle factors summarized in the literature, the barrier factors were initially set up, and based on this design expert consultation questionnaire, three The wheel expert consultation (Delphi method) finally established the barrier factor index group, and further adopted the group interview and the depth interview method to determine the main obstacle factors and Countermeasures in the implementation process of the integrated control strategy of Sichuan Province Based on infectious source control.
The first part is the analysis of the implementation of comprehensive measures for schistosomiasis control and infectious source control in Sichuan province.
By analyzing the data of the annual report of the epidemic situation of schistosomiasis in Sichuan Province in the past 2004-2012 years and the implementation of the comprehensive measures for the control of infectious sources, the results show that Sichuan province mainly carried out the treatment of the disease of the population, the hygienic measures of checking the snail, and the implementation of the construction of sanitary toilets and the biogas pool, the livestock enclosure and the environmental transformation, and the environmental transformation, and so on. The comprehensive prevention and control measures based on the system, people and cattle have decreased significantly, but the total area of Oncomelania hupensis remains unchanged in 2008-2012 years. At present, Sichuan is in the stage from transmission control to transmission blocking. It is necessary to focus on the control of Oncomelania snails while implementing the control measures of infectious sources.
The second part is a bibliometric study on the evolution of schistosomiasis control strategies in China.
Through the retrieval of related literature on schistosomiasis control and the compilation of the data of schistosomiasis control, the course of prevention and control of schistosomiasis in China was divided into three stages: the first stage (1950-1978) to eliminate the integrated control strategy of Oncomelania Snail Control. The second stage (1979-2003) integrated control strategy based on the same step chemotherapy of human and animal. (2004) From year to date, the comprehensive prevention and control strategy of schistosomiasis is based on the control of infectious sources. The focus of this stage is the monitoring of the epidemic situation of schistosomiasis, the change of control strategy and the effect of field prevention and control of the comprehensive strategy based on the control of infectious sources.
Through the retrieval of the relevant literature on the comprehensive prevention and control strategy of schistosomiasis based on infectious source control for 2004-2012 years, the framework of obstacle factors in the implementation of the integrated control strategy of schistosomiasis based on the control of contagious source in mountain areas was summarized, and the obstacles were divided into 3 categories and 8 subcategories and 28 barriers.
The third part is about the obstacle factors in the implementation of comprehensive control strategy for schistosomiasis control in Sichuan province.
The expert consultation questionnaire was designed for the frame design of obstacle factors according to the analysis of the literature. According to the importance of the problem, the expert evaluated the index by nine points. After three rounds of expert consultation, we got 21 obstacles and the weight of the 8 subcategories of the 3 categories.
According to the main obstacle factors determined by the expert consultation, the field interview outline was designed, the group interview and the deep interview were adopted. The interviewees involved the provincial, municipal, county, township and village level administrative officials, schistosomiasis professionals and the people in the epidemic area. The interview results showed that the current control strategy of the source of infection was in the hilly area. The main obstacles in the implementation are: (1) the lack of comprehensive prevention and control funds, the difficulties in the follow-up work (2) the traditional form of health education, the people's aesthetic fatigue, low acceptance (3) low controllability of the floating population, the difficulty of publicity, the difficulty of checking disease (4), the lack of funds for the construction of the biogas pool, and the obstacle factors of this study will be the gong Schistosomiasis control in Hilly and hilly areas provides important clues and important scientific basis for formulating prevention and control plans.

【學(xué)位授予單位】：中國疾病預(yù)防控制中心
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R532.21

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