2012～2015年荔湾区麻疹、风疹疑似患者的检测结果及影响因素分析  

Analysis on test results and influencing factors of suspected measles and rubella cases in Liwan District during 2012-2015

作　　者：黄嘉盈[1] 张秋丽[1] 李泽谦 

机构地区：[1]广东省广州市荔湾区疾病预防控制中心,510176

出　　处：《国际检验医学杂志》2016年第24期3439-3442,共4页International Journal of Laboratory Medicine

摘　　要：目的探讨荔湾区麻疹、风疹疑似患者的血清学检测结果及其影响因素,为荔湾区今后更好地开展传染病防控提供依据。方法以2012～2015年在荔湾区各医疗机构门诊检测的麻疹、风疹疑似患者作为研究对象,按照《麻疹诊断标准》WS296-2008和《风疹诊断标准》WS297-2008要求开展麻疹IgM抗体和风疹IgM抗体检测,标本合做登革热IgM抗体检测。采用非条件Logistic回归分析影响人群麻疹风疹病毒感染流行的相关因素。结果共调查麻疹、风疹疑似患者336例,麻疹IgM抗体阳性70例（20.8%）,风疹IgM抗体阳性22例（6.5%）,其中1例同时呈麻疹、风疹IgM抗体阳性,合并双重感染率为0.3%;登革热病毒IgM抗体阳性77例（22.9%）,1例同时呈麻疹、风疹、登革热IgM抗体阳性,合并三重感染率为0.3%。经Logistic回归分析显示：年龄在〈6岁或21～〈41岁、居住在荔湾区南片的人群为麻疹感染的风险人群;年龄在11～〈31岁的人群为风疹感染的风险人群。结论政府及有关部门需加强本区免疫规划管理,做好常规免疫,查漏补种,消除免疫空白,阻断病毒传播。Objective To investigate the serological detection results and influencing factors of the suspected measles and rubella cases in Liwan District to provide a basis for better conducting the prevention and control of infectious diseases in this district.Methods The suspected measles and rubella patients in the outpatients department of various medical institutions of Liwan Distric from 2012 to 2015were taken as the research subjects.The measles IgM antibody and rubella IgM antibody were detected according to the Diagnostic Criteria for Measles WS296-2008 and the Diagnostic Criteria for Rubella WS297-2008.The samples were tested dengue IgM antibody together.The non-conditional Logistic regression analysis was adopted to analyze the related factors affecting population measles and rubella infection prevalence.Results A total of 336 suspected measles and rubella patients were investigated,including 70cases（20.8%）of measles IgM antibody positive and 22cases（6.5%）of rubella IgM antibody positive,in which 1case was both measles and rubella IgM antibody positive,the mixed double infection rate was 0.3%;77cases（22.9%）were dengue IgM antibody positive,in which 1case was simultaneous measles,rubella and dengue IgM antibody positive,the mixed triple infection rate was 0.3%.The non-conditional Logistic regression analysis showed that the population with age6years old or 21-41years old and living in south branch district of Liwan District were the risk population of rubella infection;the population aged11-31years old were the risk population of measles infection.Conclusion The government and related departments need to strengthen the immunization planning management,do the routine immunization well,inspect missing immunization and block viral spread.

关 键 词：麻疹 风疹 影响因素 

分 类 号：R51[医药卫生—内科学]