2004～2009年周口市急性弛缓性麻痹(AFP)不合格标本病例流行病学分析  

Epidemiological Analysis on Acute Flaccid Paralysis(AFP) Cases with Unqualified Specimens in Zhoukou City,2004-2009

作　　者：李彦勋[1] 蒋文[1] 张颖[1] 徐锐[1] 

机构地区：[1]周口市疾病预防控制中心,河南周口466000

出　　处：《预防医学论坛》2011年第4期371-373,共3页Preventive Medicine Tribune

摘　　要：[目的]通过分析急性弛缓性麻痹（AFP）病例标本不合格发生原因及其特点,为持续保持高质量的AFP病例监测系统提供科学依据。[方法]对周口市2004-2009年AFP病例监测系统资料进行流行病学分析。[结果]周口市2004-2009年共报告AFP不合格标本病例47例,不同年份间AFP报告不合格标本病例的差异有统计学意义（P〈0.05）。10个县（市、区）均有不合格标本病例报告,不同县（市、区）间差异无统计学意义（P〉0.05）。年龄以3岁以下儿童居多,共25例（占53.19%）;超时采便39例,占80.85%;基层医院首诊报告率低,仅为30.56%。[结论]AFP病例不合格标本的原因主要是超时采便。应加强各级工作人员培训,提高AFP病例诊断水平和报告意识;重点关注小年龄组儿童监测,定期开展漏报调查,及时发现工作薄弱的地区,切实提高周口市AFP病例双份粪便标本合格采集率。[Objective]To provide Scientific Basis for keeping high quality of AFP surveillance system through analysis of reasons and characteristics of unqualified specimens cases.[Methods]Statistics and analysis was made on data of AFP surveillance system with Excel 2007 and SPSS 15.0 software.[Results]There were unqualified specimens 47cases during 2004 to 2009 and the difference had statistical significance of case number in different years（P0.05）.And there were no statistical significance of unqualified specimens cases among10 counties.The number of unqualified specimens cases was 25 during 0-3 years old accounting for 53.19%.And the proportion of overtime cases was 80.85%.The report rate of head examines was only 30.56% in the basic unit hospitals.[Conclusion]The main reason is overtime for unqualified specimens.Training of all levels of staff should be strengthened,enhance the diagnose level and report consciousness of AFP cases;pay attention to the small age group children,enhances gathering rate of duplicate excrement specimen qualified.

关 键 词：急性弛缓性麻痹(AFP) 不合格标本 流行病学分析 

分 类 号：R512.4[医药卫生—内科学]