江苏省急性弛缓性麻痹病例监测系统报告情况分析  

Analysis of acute flaccid paralysis surveillance system,Jiangsu

作　　者：许燕[1] 孙翔[1] 汪志国[1] 汤奋扬[1] XU Yan;SUN Xiang;WANG Zhi-guo;TANG Fen-yang(Center for Disease Control and Prevention of Jiangsu,Nanjing,Jiangsu 210009,China)

机构地区：[1]江苏省疾病预防控制中心,江苏南京210009

出　　处：《现代预防医学》2018年第19期3586-3588,3596,共4页Modern Preventive Medicine

基　　金：江苏省科技厅社会发展重点项目"江苏省重大新发传染病综合防控科技示范工程"(编号:BE2015714)

摘　　要：目的评价江苏省急性弛缓性麻痹(AFP)病例监测系统报告水平,为提高AFP监测系统质量提供科学依据。方法应用描述性流行病学方法,对2012-2017年江苏省AFP监测数据进行统计分析。结果 2012-2017年江苏省AFP病例年均报告率为2. 56/10万,48小时内调查率均在98%以上,合格便采集率均在85%以上,麻痹3天内就诊的占67. 46%,麻痹7天内就诊的占86. 42%。AFP病例首次就诊分别选择村级(1. 96%)、乡级(18. 65%)、县级(36. 94%)、地区级(34. 13%)、省级(8. 32%)医院。70. 28%的AFP病例首次就诊即确诊,省级医院报告准确性最高,为83. 09%。结论江苏省AFP监测系统运转良好,但报告的及时性和准确性存在一定的问题,应加强AFP监测的培训,做好调查核实诊断工作。Objective To evaluate report level about acute flaccid paralysis （AFP） surveillance system in Jiangsu, and to provide a scientific basis for improving the quality of AFP surveillance system. Methods The descriptive epidemiological method was used to analyze the AFP monitoring data of Jiangsu in 2012 - 2017. Results From 2012 to 2017, the average annual incidence of AFP reported was 2.56/100,000. The rate of investigation within 48 hours was above 98%. The adequate specimen collection rate was more than 85%. The 67.46% of AFP patients were treated during paralysis within 3 days and 86. 42% were treated during paralysis within 7 days. The AFP cases in the first visit to hospital selected village clinic （ 1.96% ）, township hospital （18.65 % ）, country medical units （36.94%）, regional level hospital （34.13 % ）, provincial hospital （8. 32% ） , respectively. 70.28% of AFP cases were diagnosed in the first visit. Provincial hospitals reported the highest accuracy of 83.09%. Conclusion The AFP surveillance system in Jiangsu is working well, but there are certain problems in the timeliness and accuracy of the report. The training of AFP surveillance should be strengthened and the diagnoses should be conducted.

关 键 词：急性弛缓性麻痹 监测系统 报告 

分 类 号：R184[医药卫生—流行病学]