湖南省1996～2000年AFP病例临床分析与分类研究  

Clinical Analysis and Classification Study on AFP Cases During 1996～2000 in Hunan Province

作　　者：李放军[1] 李俊华[1] 李树民 刘文[1] 黄端雯[1] 张红[1] 王长江[1] 

机构地区：[1]湖南省疾病预防控制中心,中国湖南长沙410005 [2]湖南省卫生监督所,410008

出　　处：《实用预防医学》2001年第6期405-406,共2页Practical Preventive Medicine

基　　金：湖南省卫生厅科研基金项目 (编号 9863)

摘　　要：目的　提高AFP病例分类的特异性和科学性 ,为无脊灰证实提供科学证据。　方法　采用AFP病例病毒学分类法对湖南省 1996～ 2 0 0 0年 113 7例AFP病例进行分类诊断。　结果　除 1996年有 1例临床符合病例外 ,其余均为排除病例。我省AFP病例中 ,占比例较高的病种有创伤性神经炎 (14 .9% )、非脊灰肠道病毒感染 (11.6% )及格林巴利综合征 (10 .1% )等。　结论　病例分类结果证明我省已无脊灰野病毒病例发现 ,为无脊灰证实提供了科学依据。创伤性神经炎主要是基层医务人员注射技术不过关引起 。Objective To improve specificity and scientific feature of AFP case classification by using virological classification standard and provide science evidence for non-polio verification. Methods Virological Classification Standard was applied to make diagnosis for 1,137 AFP cases during 1996～2000 in Hunan Province. Result All of the cases were non-polio AFP except 1 clinically compatible polio case in 1996. Of all the AFP cases in the Province, traumatic neuritis (14.9%)?non-polio enterovirus infection (11.6%) and the Guillian-Barre Syndrome (GBS) (10.1%) were the first three diseases. Conclusion The result of the classification showed that there was no wild-type polio virus found. It was provided science evidence for non-polio verification in Hunan Province. Traumatic neuritis were mainly caused by unskilled injection of clinicians at the basic-level health care center, which we would pay more attention.

关 键 词：急性 弛缓性麻痹 临床分析 病例分类 

分 类 号：R512.4[医药卫生—内科学]