重庆市涪陵区中小学生麻疹腮腺炎风疹抗体水平分析  

Surveillance on measles, rubella and mumps antibody level of primary and secondary school students in Fuling district of Chongqing

作　　者：张仁平[1] 杨德明[1] 田应桥 曹勇[1] 康晓丽[1] 王小明[1] 杨帆[1] 

机构地区：[1]重庆市涪陵区疾病预防控制中心,408000

出　　处：《中国学校卫生》2016年第5期721-723,共3页Chinese Journal of School Health

基　　金：重庆市涪陵区科技计划项目(FLKJ2015ABB1091)

摘　　要：目的了解重庆市涪陵区中小学生麻疹、风疹、流腮免疫水平,为拟定相应疾病预防控制对策提供参考。方法分层整群随机抽取重庆市涪陵区6-15岁中小学生2 179名,采集全血,采用酶联免疫法对麻疹、风疹、腮腺炎病毒Ig G抗体进行检测分析。结果共检测2 179人6 537份全血,其中麻疹抗体阳性1 968人,阳性率为90.32%;风疹抗体阳性1 908人,阳性率为87.56%;流腮抗体阳性1 904人,阳性率为87.38%。不同性别年龄组学生间麻疹、风疹、流腮抗体阳性率差异均无统计学意义（P值均〉0.05）。不同监测点间麻疹、风疹、流腮抗体阳性率差异均有统计学意义（χ^2值分别为9.820,122.268,61.840,P值均〈0.05）,均以西部地区的阳性率为低;城区风疹抗体阳性率（90.01%）高于乡镇（85.96%）,差异有统计学意义（χ^2=7.836,P=0.005）。结论重庆市涪陵区中小学校中小学生麻疹、风疹、腮腺炎疫苗抗体阳性率保持在较高水平。应进一步加强西部较偏远地区麻腮风三联疫苗的推广接种。Objective To determine measles, rubella and mumps antibody level among pupils in Fuling district of Chongqing. Methods Blood samples of pupils aged 6- 15 were selected randomly in cluster sampling method, and the antibody level of measles, rubella and mumps was determined by using of ELISA method. Results A total of 6 537 blood samples from2 179 people were detected. Total positive rate of measles, rubella and mumps were 90.32%（ 1 968 / 2 179）, 91.25%（ 1 908 / 2 179）and 89.06%（ 1 904 / 2 179）. Difference of measles（ χ^2= 9. 820, P = 0. 044）, rubella（ χ^2= 122. 268, P〈0. 01） and mumps（ χ^2=61.840, P = 0.005） antibody positive rate between different monitoring places had statistical significance. Rubella antibody positive rate was significantly higher in urban area than township（ χ^2= 7.836, P = 0.005）, while positive rate of rubella antibody was higher in urban than township. Conclusion Antibody of measles, mumps, and rubella remains high among students in Fuling district of Chongqing. Measles, mumps and rubella surveillance needs to be maintained and strengthened in children and adolescents in Chongqing.

关 键 词：麻疹—腮腺炎—风疹疫苗 抗体 学生 

分 类 号：R174.6[医药卫生—妇幼卫生保健] R183[医药卫生—公共卫生与预防医学]