全国1996年急性弛缓性麻痹病例监测系统运转情况评析  

THE ANALYSIS OF THE WORKING STATUS OF AFP SURVEILLANCE SYSTEM IN CHINA

作　　者：曹雷[1] 张荣珍[1] 李全乐[1] 徐涛[1] 张兰香[1] 张兴录[1] 王克安[1] 

机构地区：[1]中国预防医学科学院全国计划免疫技术指导中心

出　　处：《中国计划免疫》1997年第6期257-262,共6页Chinese Journal of Vaccines and Immunization

摘　　要：全国１９９６年急性弛缓性麻痹（ＡＦＰ）病例监测系统共报告ＡＦＰ病例４７３２例，较１９９５年４８０１例减少８９％；全国共有１８３６个县（区、市、旗，下同）报告了ＡＦＰ病例，占全国县数的６４５％；全年开展含零病例报告的县超过全国县数的９０％。１９９６年临床确诊脊髓灰质炎（脊灰）２０１例，分布于１７０个县；仅云南省发现３例输入性野病毒病例。１９９６年ＡＦＰ病例监测系统敏感性、及时性全面提高：１５岁以下儿童ＡＦＰ病例报告发病率为１３６／１０万，非脊灰ＡＦＰ病例报告发病率为１３１／１０万；４８小时内调查率为９９％；ＡＦＰ病例双份粪便标本采集及时率为８３％，合格粪便标本采集率为７７％。非ＡＦＰ病例的鉴别和ＡＦＰ病例报告的滞后、随访表的及时报送仍有待提高。In 1996,4,372 AFP cases was reported by AFP surveillance system in China, it decresed by 98% when compared with the number of AFP cases (4,801 cases) reported in 1995 There were 1,836 (645%) counties (District,City,Banner,the same below)which made AFP case reportingThe percentage of counties with zerocase reporting also reached to 90% in ChinaIn 1996,the clinically confirmed polio cases were 201 which distributed in 170 counties Only in Yunnan Province there were 3 wild poliovirus cases imported from MyanmarIn 1996,the sensitivity and completeness of AFP surveillance system in China have achieved an all-round imporvement: i) the reported rate of AFP cases aged under 15 years was 136/100,000, non-polio AFP reported rate also reached to 131/100,000; ii) the percentage of AFP cases investigated within 48 hours of the onset of paralysis after reporting was 99%;iii) the percentage of 2 stool specimen collecting rate within 14 days of onset of paralysis was 83%,and the adequate 2 stool specimen collecting rate was 77%In brief,the identification of non-AFP cases,the delayed reporting of AFP cases and thet imely delivery of follow-up forms of AFP should be further improved in the future

关 键 词：弛缓性麻痹 监测 评价 脊髓灰质炎 

分 类 号：R746[医药卫生—神经病学与精神病学] R512.4[医药卫生—临床医学]