东莞市2004～2008年新生儿破伤风发病情况及影响因素  

Status of neonatal tetanus and its influential factors in Dongguan City from 2004 to 2008

作　　者：王东[1] 

机构地区：[1]东莞市疾病预防控制中心,广东东莞523006

出　　处：《中国热带医学》2009年第8期1581-1582,共2页China Tropical Medicine

摘　　要：目的了解东莞市新生儿破伤风(NT)的流行病学特征及其影响因素,为制定和预防控制策略提供依据。方法采用描述性流行病学方法。结果2004～2008年全市共报告新生儿破伤风病例231例,年均发病率为0.356‰,年均病死率为8.23%;病例全部为外地流动人口,发病无明显季节性,男女性别比2.27∶1;母亲未接种过破伤风类毒素,未接受产前检查、在家分娩以及未经培训的接生员接生为发病的主要危险因素。结论外来流动人口是东莞市NT防控的重点,加强流动孕产妇的宣传教育,提高住院分娩率,普及新法接生和开展有效的监测是东莞市消除NT的主要措施。Objective To understand the epidemiological features and risk factors of neonatal tetanus（NT） in Dongguan City. Methods A method of descriptive epidemiological study was used. Results There 231 tetanus cases were reported in 2004-2008 with an annual incidence of 0.356%o and a fatality rate of 8.23%. All cases were floating population. The incidence was without obvious seasonal peak. The sexs ratio of male to female was 2.27：1 ,the main risk factor of NT includes mothers without inoculation history of tetanus toxoid,without examination before delivery,or delivery conducted with the help of an untrained midwife. Conclusion The floating population be properly managed and the work of vaccination and montofing activity inclduing hospital delivery be stengthened.

关 键 词：新生儿破伤风 影响因素 

分 类 号：R186[医药卫生—流行病学]