北京市西城区2007-2011年异地急性弛缓性麻痹流行病学分析  

Epidemiological Analysis on Acute Flaccid Paralysis Cases from Other Provinces in Xicheng District of Beijing from 2007 to 2011

作　　者：王红增[1] 孙木[1] 王庆[1] 闻国荣[1] 史淑芬[1] 崔长弘[1] 王兆华[1] 

机构地区：[1]北京市西城区疾病预防控制中心,北京100120

出　　处：《实用预防医学》2012年第12期1807-1810,共4页Practical Preventive Medicine

摘　　要：目的评价西城区2007-2011年异地急性弛缓性麻痹(AFP)病例的发病特征及监测系统的运转状况,提升监测管理水平。方法分析西城区2007-2011年异地AFP病例监测数据。结果 2007-2011年西城区共调查处理异地AFP病例355例,河北省最多(45.6%),集中分布在5岁以下小年龄组(59.4%)。采集到双份及以上粪便标本的315例病例中,197例是在麻痹后14 d内采集到双份粪便标本,合格便标本采集率为62.5%,低于国家80%的标准。结论合格便标本采集率低主要是由于异地病例来京就诊较晚,错过了采集合格便的时限。合格便采集率是反映AFP病例监测系统敏感性的一个重要指标,为提高合格便采集率,首诊医疗机构应及时报告,报告后尽快采集便标本,病例离开原籍时及时横转。此外,西城区还需继续加强异地AFP病例监测管理质量,通过培训强化临床医生采集合格便的意识。Objective To evaluate the pathogenic characteristics of acute flaccid paralysis（AFP） cases from other provinces in Xicheng District from 2007 to 2011 as well as the operation of monitoring system,and to promote the level of monitoring management.Methods We analyzed the surveillance data of AFP cases from other provinces in Xicheng District during the period of 2007-2011.Results Totally 355 AFP cases were surveyed and managed in Xicheng District from 2007 to 2011.The cases from Hebei Province accounted for the largest proportion（45.6%）.The majority of cases were children under 5 years old（59.4%）.The qualified collection rate of feces samples within 14 days after paralysis onset was 62.5%,and it was lower than the national standard.Conclusions The low qualified collection rate of stool samples is due to missing the best collection time.The qualified collection rate is an important index that reflects the sensitivity of AFP cases monitoring system.Initial reporting and prompt turning-across are critical in improving the qualified collection rate.In addition,it is necessary to enhance the monitoring and management quality of AFP cases and to improve the clinicians＇ consciousness of eligible specimens collection through training in Xicheng District.

关 键 词：脊髓灰质炎 急性弛缓性麻痹 异地AFP 监测 

分 类 号：R512.4[医药卫生—内科学]