蜱类摘除方法概述

doi:10.11853/j.issn.1003.8280.2021.02.025

摘要/Abstract

摘要： 蜱类作为传播病原体种类最多的专性吸血节肢动物，其对人类的危害仅次于蚊类。一旦被蜱类叮咬，如果不及时摘除，蜱类会吸取大量的血液，同时释放毒素或传播病原体，给人类健康带来极大危害。因此，及时摘除体表寄生蜱十分必要。我国每年都会有大量的人被蜱叮咬，但对于如何正确摘除蜱争论颇多。如何正确快速地摘除叮咬蜱类，避免蜱媒疾病的发生和蜱传毒素的释放，越来越受到民众的关心和重视。该文对近年来蜱类的摘除方法进行了比较分析，评估了不同摘除方法的摘除效果、优缺点及适用范围，为有效降低蜱类对人体造成的危害提供理论基础，对有效防控蜱和蜱媒疾病具有重要意义。

关键词: 蜱, 叮咬, 摘除, 防护

Abstract: Ticks are obligate bloodsucking arthropods that transmit the most diverse pathogens, and the harm to humans caused by ticks is secondary only to that by mosquitoes. Once a tick bites the human body, it can ingest a large amount of blood and release toxins or pathogens if not removed immediately, which causes great harm to humans. Hence, it is of great importance to remove on-host ticks on the body surface as soon as possible. A huge number of tick biting cases occur in China each year, whereas there still exist controversies regarding how to remove the ticks correctly. It has attracted more and more public attention regarding how to correctly remove the biting ticks to avoid the occurrence of tick-borne diseases and the release of tick-mediated toxins. This article has made a comparative analysis on the tick removal methods in recent years and evaluated the effects of different removal methods as well as their advantages and disadvantages and scope of application. This provides a theoretical foundation for reducing tick-induced harm to humans; meanwhile, it is important for effective prevention and control of ticks and tick-borne diseases.

Key words: Tick, Bite, Removal, Protection

中图分类号:

R384.4

张萌, 王桐萱, 于志军, 刘敬泽. 蜱类摘除方法概述[J]. 中国媒介生物学及控制杂志, 2021, 32(2): 243-246.

ZHANG Meng, WANG Tong-xuan, YU Zhi-jun, LIU Jing-ze. An overview of tick removal methods[J]. Chines Journal of Vector Biology and Control, 2021, 32(2): 243-246.

参考文献

[1] 刘敬泽,杨晓军. 蜱类学[M]. 北京:中国林业出版社,2013:187-196.Liu JZ,Yang XJ. Ticks[M]. Beijing:China Forestry Publishing,2013:187-196.
[2] Walter KD,Pritiben P. Report of Non-Lyme,Erythema migrans rashes from New Jersey with a review of possible role of tick salivary toxins[J]. Vector-Borne Zoonot Dis,2018,18(12):641-652. DOI:10.1089/vbz.2018.2278.
[3] Yu ZJ,Wang H,Wang TH,et al. Tick-borne pathogens and the vector potential of ticks in China[J]. Parasit Vectors,2015,8:24. DOI:10.1186/s13071-014-0628-x.
[4] Pawełczyk A,Małgorzata B,Kowalska JD,et al. Seroprevalence of six pathogens transmitted by the Ixodes ricinus ticks in asymptomatic individuals with HIV infection and in blood donors[J]. Sci Rep,2019,9:2117. DOI:10.1038/s41598-019-38755-9.
[5] Zhang YK,Zhang XY,Liu JZ. Ticks (Acari:Ixodoidea) in China:geographical distribution,host diversity,and specificity[J]. Arch Insect Biochem Physiol,2019,102(3):e21544. DOI:10.1002/arch.21544.
[6] 于志军,刘敬泽. 蜱传疾病及其媒介蜱类研究进展[J]. 应用昆虫学报,2015,52(5):1072-1081. DOI:10.7679/j.issn.2095-1353.2015.128.Yu ZJ,Liu JZ. Progress in research on tick-borne diseases and vector ticks[J]. Chin J Appl Entomol,2015,52(5):1072-1081. DOI:10.7679/j.issn.2095-1353.2015.128
[7] Yu XJ,Liang MF,Zhang SY,et al. Fever with thrombocytopenia associated with a novel bunyavirus in China[J]. N Engl J Med,2011,364(16):1523-1532. DOI:10.1056/NEJMoa1010095.
[8] 祝戎飞,陈浩,孙劲旅,等. 蜱虫叮咬所致红肉过敏[J]. 中华临床免疫和变态反应杂志,2015,9(1):44-48. DOI:10.3969/j.issn.1673-8705.2015.01.009.Zhu RF,Chen H,Sun JL,et al. Tick bites induced red meat allergy[J]. Chin J Aller Clin Immunol,2015,9(1):44-48. DOI:10.3969/j.issn.1673-8705.2015.01.009.
[9] Zhang GS,Zheng D,Tian YQ,et al. A dataset of distribution and diversity of ticks in China[J]. Sci Data,2019,6:105. DOI:10.1038/s41597-019-0115-5.
[10] Kim TK,Tirloni L,Pinto AFM,et al. Time-resolved proteomic profile of Amblyomma americanum tick saliva during feeding[J]. PLoS Negl Trop Dis,2020,14(2):e0007758. DOI:10.1371/journal.pntd.0007758.
[11] 史晓敏,黄婷. 莱姆病的实验室诊断及研究进展[J]. 中华检验医学杂志,2019,42(10):890-893. DOI:10.3760/cma.j.issn. 1009-9158.2019.10.015.Shi XM,Huang T. Laboratory diagnosis and research progress of Lyme disease[J]. Chin J Lab Med,2019,42(10):890-893. DOI:10.3760/cma.j.issn.1009-9158.2019.10.015.
[12] Fraser CM,Casjens S,Huang WM,et al. Genomic sequence of a Lyme disease spirochaete,Borrelia burgdorferi[J]. Nature,1997,390(6660):580-586. DOI:10.1038/37551.
[13] Cook MJ. Lyme borreliosis:a review of data on transmission time after tick attachment[J]. Int J Gen Med,2014,8:1-8. DOI:10.2147/IJGM.S73791.
[14] Sul H,Kim DM. Present state and future of tick-borne infectious diseases in Korea[J]. J Korean Med Assoc,2017,60(6):475-483. DOI:10.5124/jkma.2017.60.6.475.
[15] 宋春玲,刘宇婷,黄雪玲,等. 叮咬蜱的摘除方法[J]. 寄生虫与医学昆虫学报,2017,24(1):56-59. DOI:10.3969/j.issn.1005-0507.2017.01.009.Song CL,Liu YT,Huang XL,et al. A review of tick removal from victims[J]. Acta Parasitol Med Entomol Sin,2017,24(1):56-59. DOI:10.3969/j.issn.1005-0507.2017.01.009.
[16] Lee MD,Sonenshine DE,Counselman FL. Evaluation of subcutaneous injection of local anesthetic agents as a method of tick removal[J]. Am J Emerg Med,1995,13(1):14-16. DOI:10.1016/0735-6757(95)90232-5.
[17] 熊承成. 蜱叮咬手术切除1例[J]. 临床皮肤科杂志,2019,48(4):236.Xiong CC. A case of operational remove of biting tick[J]. J Clin Dermatol,2019,48(4):236.
[18] Schultheis L. A novel technique to remove the common dog tick[J]. Am Fam Physician,1998,58(2):354,357.
[19] Flicek BF. Rickettsial and other tick-borne infections[J]. Crit Care Nurs Clin North Am,2007,19(1):27-38. DOI:10.1016/j.ccell.2006.11.001.
[20] 曾林波,郁书亮. 蜱虫咬伤临床疗效[J]. 医学信息,2015(12):151. DOI:10.3969/j.issn.1006-1959.2015.12.217.Zeng LB,Yu SL. Clinical effect of tick bite[J]. Med Inform,2015(12):151. DOI:10.3969/j.issn.1006-1959.2015.12.217.
[21] Due C,Fox W,Medlock JM,et al. Tick bite prevention and tick removal[J]. BMJ,2013,347:f7123. DOI:10.1136/bmj.f7123.
[22] Oteo JA,Martínez de Artola V,Gómez-Cadiñanos R,et al. Evaluation of methods of tick removal in human ixodidiasis[J]. Rev Clin Esp,1996,196(9):584-587.
[23] Pitches DW. Removal of ticks:a review of the literature[J]. Euro Surveill,2006,11(8):E060817.4. DOI:10.2807/esw.11.33. 03027-en.
[24] Huygelen V,Borra V,De Buck E,et al. Effective methods for tick removal:a systematic review[J]. J Evid Based Med,2017,10(3):177-188. DOI:10.1111/jebm.12257.
[25] Stewart RL,Burgdorfer W,Needham GR. Evaluation of three commercial tick removal tools[J]. Wilderness Environ Med,1998,9(3):137-142. DOI:10.1580/1080-6032(1998)009[0137:EOTCTR]2.3.CO;2.
[26] Belli AA,Dervis E,Kar S,et al. Revisiting detachment techniques in human-biting ticks[J]. J Am Acad Dermatol,2016,75(2):393-397. DOI:10.1016/j.jaad.2016.01.032.
[27] Nikki C,Stephen C. Methods of tick removal:a systematic review of the literature[J]. AMJ,2017,10(1):53-62. DOI:10.21767/AMJ.2017.2804.
[28] Schneider LA,Dissemond J. When professional forceps are not available:Efficient tick removal using a no. 15 scalpel as a spade[J]. Eur J Dermatol,2015,25(2):193-194. DOI:10.1684/ejd.2014.2489.
[29] Moehrle M,Rassner G. How to remove ticks?[J]. Dermatology,2002,204(4):303-304. DOI:10.1159/000063366.
[30] Edlow JA,McGillicuddy DC. Tick paralysis[J]. Infect Dis Clin North Am,2008,22(3):397-413. DOI:10.1016/j.idc.2008. 03.005.
[31] Miyamoto K,Hashimoto Y. Prevention of Lyme borreliosis infection after tick bites[J]. Kansenshogaku Zasshi,1998,72(5):512-516. DOI:10.11150/kansenshogakuzasshi1970.72.512.
[32] Murtagh J. Murtagh's general practice[M]. 2nd ed. Sydney,Australia:McGraw-Hill,1998:1421-1439.
[33] Love MC,Platt L,Westfall CT. Lone-star tick bite of the conjunctiva[J]. Arch Ophthalmol,2001,119(12):1854-1855.
[34] Foo LL,Ting DSW,Ng WY,et al. Novel technique of dog tick removal from the eyelid[J]. Acta Ophthalmol,2016,94(8):e819-e820. DOI:10.1111/aos.13165.
[35] Ashique KT,Kaliyadan F. Radiofrequency device for tick removal[J]. J Am Acad Dermatol,2015,72(6):e155-e156. DOI:10.1016/j.jaad.2015.01.046.
[36] Ghirga G,Ghirga P. Effective tick removal with a fishing line knot[J]. Wilderness Environ Med,2010,21(3):270-271. DOI:10.1016/j.wem.2010.04.005.
[37] Needham GR. Evaluation of five popular methods for tick removal[J]. Pediatrics,1985,75(6):997-1002.
[38] De Boer R,Van Den Bogaard AEJM. Removal of attached nymphs and adults of Ixodes ricinus (Acari:Ixodidae)[J]. J Med Entomol,1993,30(4):748-752. DOI:10.1093/jmedent/30.4.748.
[39] 兰晓鸥,孙晶. 蜱叮咬1例[J]. 皮肤性病诊疗学杂志,2015,22(5):373-374. DOI:10.3969/j.issn.1674-8468.2015.05.006.Lan XO,Sun J. A case of tick bite[J]. J Diagn Ther Dermato Venereol,2015,22(5):373-374. DOI:10.3969/j.issn.1674-8468.2015.05.006.
[40] Cory D. Removing ticks the right way[J]. Nursing,1991,21(9):4,8.
[41] Pavlovic M,Alakeel A,Frances C. Tick removal with liquid nitrogen[J]. JAMA Dermatol,2013,149:633. DOI:10.1001/jamadermatol.2013.2553.
[42] Van Nunen S,Basten A,Cowdery N,et al. Tick removal techniques practised by tick anaphylaxis sufferers[J]. Int Med J,2014,44:26.
[43] Riccò M,Bragazzi NL,Vezzosi L,et al. Knowledge,attitudes,and practices on tick-borne human diseases and tick-borne encephalitis vaccine among farmers from north-eastern Italy (2017)[J]. J Agromedicine,2020,25(1):73-85. DOI:10.1080/1059924X.2019.1659204.