2001-2010年四川省宜宾市新生儿破伤风流行病学分析  

Epidemiology of neonatal tetanus in Yibin in Sichuan province,2001-2010

作　　者：赵素荣[1] 侯明书[1] 王敏[1] 

机构地区：[1]宜宾市疾病预防控制中心,四川宜宾644000

出　　处：《疾病监测》2011年第9期689-690,共2页Disease Surveillance

摘　　要：目的了解四川省宜宾市新生儿破伤风(NT)流行病学情况,探索进一步降低NT发病率的措施。方法利用描述性流行病学分析方法,对2001-2010年NT监测资料进行分析。结果宜宾市2001-2010年的10年间共报告62例NT确诊病例,年发病率波动在0.04‰～0.20‰之间,年均病死率为67.74%,全年均有发病,以男性为多,病例发病平均在出生后6 d,93.55%的病例是在家中出生,95.16%的病例是由未经培训的人员接生。结论旧法接生和产前未注射破伤风类毒素是NT发病的主要原因。进一步推广住院分娩,提高群众卫生保健意识,对高危人群接种破伤风类毒素是巩固消除NT成果、进一步降低NT发病率的重要措施。Objective To understand the epidemiological characteristics of neonatal tetanus（NT） in Yibin and explore effective measures for the further reduction of NT incidence.Methods Descriptive epidemiological analysis was conducted on the NT surveillance data in Yibin from 2001 to 2010.Results Sixty two confirmed NT cases were reported in Yibin during this period.The average annual incidence ranged from 0.04‰ to 0.20‰,and the average annual case fatality was 67.74%.The disease occurred all the year round,more males were affected.NT attacked the newborns 6 days after birth averagely.Up to 93.55% of the newborns attacked by NT were born at home and 95.16% of these newborns were delivered by untrained persons.Conclusion Unclean delivery and receiving no antepartum tetanus toxoid injection were the main factors to cause NT.The further promotion of hospitalized child birth,increase of the people＇s awareness about health care and tetanus toxoid vaccination in high risk group are the important measures to solidify NT eradication achievement and further reduce NT incidence.

关 键 词：新生儿破伤风 流行病学分析 监测系统 

分 类 号：R722.1[医药卫生—儿科] R181.3[医药卫生—临床医学]