实现无脊灰目标后临汾市AFP监测系统运转情况分析  

Analysis on the Working of AFP Monitoring System in Linfen City after Achieving Poliomyelitis Eradication

作　　者：范爱清[1] 赵天云[2] 

机构地区：[1]山西省临汾市疾病预防控制中心,山西临汾041000 [2]临汾市人民医院

出　　处：《疾病监测》2005年第5期251-252,共2页Disease Surveillance

摘　　要：目的　了解临汾市无脊灰证实后AFP监测系统运转情况。方法　对临汾市所辖县(市区)AFP病例报告情况进行统计分析。结果　实现无脊灰目标后,临汾市连续3年AFP监测质量主要评价指标均达到目标要求。3年报告AFP病例4 7例,男女性别比2 .6 2∶1;5～8月报告病例较多,占全年4 2 .5 5 % ;未进行OPV免疫和未全程免疫儿童占2 3.4 1% ;AFP病例在县级医疗机构就诊率最高(38.30 % ) ,报告率较低(44 .4 4 % )。结论　临汾市AFP病例中格林巴利综合征病例所占比例大是AFP病例夏秋季发病较多,且男性多于女性的主要原因。今后应加大对县级医疗机构临床医生的培训力度,进一步提高OPV免疫接种率。Objective The aim of this study was to learn about the working of AFP monitoring system in Linfen City after poliomyelitis eradication had been verified. Methods Statistical analysis was conducted in regard to reports of AFP cases in counties supervised by Linfen Municipality (including downtown area). Results Since the goal of poliomyelitis eradication was realized, principle evaluation indexes of AFP monitoring quality in Linfen had addressed the requirements for successively 3 years, during which 47 cases of AFP were reported, with a ratio of male to female of 2.62∶1;The reported cases occurred more frequently from May to August, which accounted for 42.55% of the whole year; children who did not have OPV and full-course immunization occupied 23.41%; the consultancy rate of AFP cases was the highest at county-level medical agencies (38.30%), whereas the reporting rate was low (44.44%). Conclusion Guillain-Barré syndrome accounting for a large proportion of AFP cases in Linfen is the primary cause of more occurrences of AFP in Summer and Fall and more male patients than females. Henceforth it is advisable to enhance the training force of clinicians at county-level medical facilities to further improve OPV immunization rate.

关 键 词：无脊灰 AFP监测系统 运转 病原学 

分 类 号：R512.4[医药卫生—内科学]