急性弛缓性麻痹病例现场流行病学监测与质量评价  

Field Epidemiological Surveillance and Quality Assessment for Acute Flaccid Paralysis (AFP) Cases

作　　者：梅志强[1] 张俊书[1] 范富云[1] 徐健[1] 

机构地区：[1]山西省卫生防疫站,太原030012

出　　处：《中国计划免疫》2001年第1期26-28,共3页Chinese Journal of Vaccines and Immunization

摘　　要：急性弛缓性麻痹 (AFP)病例报告和流行病学调查 ,是现场流行病学监测的主要内容 ,是评价AFP病例监测敏感性和特异性的基础和前提。据此 ,对山西省 1993～ 1999年AFP病例监测的质量进行了评估。山西省AFP病例报告发病率从 1995年起已 >1/ 10万 ,1999年为 1 5 1/ 10万 ;现场监测的 5项指标 ,从 1996年起都达到了规定的要求 ,1999年都 >96 0 %。最后 1例病毒学确诊的脊髓灰质炎 (脊灰 )病例发生于 1992年 4月。 1993～ 1999年 6 97例AFP病例 ,临床诊断以非脊灰肠道病毒感染最多 ,占 43 33% ;其次为格林 -巴利综合征 ,占 2 7 12 %。AFP case reporting and epidemiological survey are the main contents of field epidemiological surveillance, also are the basis and premise for assessment of sensitivity and specificity of AFP case surveillance system. AFP case reported rates were>1/100,000 in our province since 1995 and was 1.51/100,000 in 1999. Five indicators for field surveillance met or exceeded the state established lower limit indicator of 80% since 1996 and was>96.0% in 1999. Of 697 AFP cases reported in 1993～1999, 8 kinds of diseases were classified, in which non polio enterovirus took the first place (43.33%), Guillan Barre syndrome came the second (27.12%). The last polio case confirmed virologically occurred on April 4, 1992 which was the last wild poliovirus case since supplementary immunization campaigns have been performed in our province.

关 键 词：急性弛缓性麻痹 现场流行病学 监测 质量评价 

分 类 号：R512.401[医药卫生—内科学]