宁夏回族自治区2003年急性弛缓性麻痹病例流行病学分析  

Epidemiological Analysis of the Acute Flaccid Paralysis Cases in 2003

作　　者：李海军[1] 杨涛[1] 芮建国[1] 詹军[1] 陈惠[1] 王青聪[1] 

机构地区：[1]宁夏回族自治区疾病预防控制中心,银川750004

出　　处：《中国计划免疫》2005年第1期64-65,共2页Chinese Journal of Vaccines and Immunization

摘　　要：目的　为进一步做好急性弛缓性麻痹 (AFP)病例监测 ,巩固无脊髓灰质炎 (脊灰 )成果。方法　对宁夏回族自治区 2 0 0 3年AFP病例的流行病学特征及监测系统运转情况进行描述性流行病学分析。结果　全自治区共报告AFP病例 1 9例 ,<1 5岁儿童非脊灰AFP病例报告发病率 1 4 2 / 1 0万 ;合格粪便标本采集率为 94 .7% ;分离到 1株Ⅲ型脊灰病毒 ,为疫苗株 ;非脊灰肠道病毒分离率为 1 0 5%。AFP病例监测系统各项指标均达到要求。根据病毒学分类标准 ,报告的AFP病例均为脊灰排除病例。口服脊灰疫苗强化免疫活动第 1轮报告接种率为 97. 4 6% ,第 2轮为 97.51 %。接种率快速评估结果为 ,第 1轮调查目标儿童 1 1 1 7人 ,服苗率为 94.0 0 % ;第 2轮调查目标儿童1 1 46人 ,服苗率为 95.99%。结论　做好常规免疫和AFP病例合格粪便标本的采集 ,提高AFP病例首诊报告率 ,加强AFP病例分类专家诊断小组的活动 。Objective In order to supply the basis about the Acute Flaccid Paralysis (APF) cases surveillance. Methods We adopted EPI info software to statistic and analysis. Result The incidence rate of AFP was 1.42/100000 in 2003.Guyuan was the highest incidence region, amount for 63.2%. The ages from 5 to 9 was the highest incidence group,it was 31.6%.AFP cases mainly distributed from April to June,occupied 42.1%.Non-whole course immunization was 15.8%.Non-polio enterovirus total isolated positive rate in fecal specimens was 15.8%.The report on AFP was all non-poliomyelitis case,most were GBS,it was 28.6%.The supervisor indexes of AFP were eligible.In the 1st round of National Immunization Days(NIDs)fast evaluation,we investigated 1117 children,the vaccinated rate was 94.00%.In the 2nd round we investigated 1146,the discussion vaccinated rate was 95.59. Conclusion We should go on doing routine immune vaccination and AFP cases qualified fecal specimens collection work.Improving the rate of first diagnosis reporting,and enhancing the actions of AFP cases sort expert diagnosis group are important in non-poliomyelitis confirmation period.

关 键 词：脊髓灰质炎 急性弛缓性麻痹 监测 强化免疫 

分 类 号：R512.4[医药卫生—内科学]