2005年广西急性弛缓性麻痹病例流行病学分析  

Epidemiological analysis on acute flaccid paralysis cases in Guangxi in 2005

作　　者：钟革[1] 黄林[1] 陈世毅[1] 刘巍[1] 郑志刚[1] 韦一知[1] 谢镇国[1] 班华国[1] 杨庆利[1] 刘素珍[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,广西南宁530021

出　　处：《疾病监测》2007年第4期253-255,共3页Disease Surveillance

摘　　要：目的了解2005年广西急性弛缓性麻痹(AFP)病例监测系统运转状况,进一步做好AFP病例监测,巩固无脊髓灰质炎(脊灰)成果。方法采用描述性流行病学方法对广西2005年AFP监测数据进行分析。结果2005年广西AFP监测系统共报告病例307例,其中AFP病例262例,非AFP病例45例。AFP病例中,经实验室标本检测和专家诊断小组诊断,260例被排除脊灰,2例为临床符合脊灰病例。<15岁儿童非脊灰AFP病例报告发病率2.40/10万,82.70%的县报告AFP发病率>1/10万;合格粪便标本采集率为90.50%;12例病例分离出脊灰疫苗病毒,脊灰疫苗病毒分离率为4.62%;分离出其他肠道病毒25例,肠道病毒分离率为9.62%;AFP病例监测系统各项指标均达到要求。首诊报告率为76.72%,但乡村级仅为36.46%;8.01%的病例未完成全程免疫,零剂次儿童占总病例的2.67%。结论广西仍需进一步加强常规免疫,提高AFP监测敏感性和乡村级首诊报告率。Objective The present analysis was made to study the working status of the acute flaccid paralysis （AFP） surveillance system in Guangxi in 2005 for better APF case surveillance and consolidation of the current poliomyelitis-free environment. Methods Descriptive epidemiological method was used for analyzing the surveillance data on AFP in Guangxi in 2005. Results 307 cases of Guangxi were reported in 2005, of which 45 cases were diagnosed non-AFP and 262 were diagnosed AFP. Based on the laboratory test results and diagnosis by expert diagnostic teams, 260 cases were ruled out as non-polio cases while only 2 cases were clinically diagnosed poliomyelitis. The reported incidence of non-polio among children under 15 years old was 2.40/lakh, while in 82.70% of the counties the reported incidence of AFP was above 1.00/lakh. The collection rate of adequate stool specimens was 90.50%. 12 cases were isolated poliomyelitis vaccine virus, the isolated positive rate being 4.62%. 25 cases were isolated other enterovirus, the isolated positive rate being 9.62%. All of the indexes of AFP surveillance system reached the standard. The reporting rate at the first consultation was 76.72%, but the rate was only 36.46% in rural areas. 8.01% cases were not whole-range immunized, as the zero-dose children constituted 2.67% of the total cases. Conclusion It is highly required that the routine immunization be strengthened and the sensitivity of AFP surveillance and the reporting rate at the first consultation be improved in rural areas of Guangxi.

关 键 词：脊髓灰质炎 急性弛缓性麻痹 监测 

分 类 号：R512.4[医药卫生—内科学]