2012-2022年浙江省台州市急性弛缓性麻痹病例监测结果分析  

Surveillance for acute flaccid paralysis cases in Taizhou,Zhejiang,2012−2022

作　　者：徐一文[1] 邱春华[1] 陈怡平[1] Xu Yiwen;Qiu Chunhua;Chen Yiping(Taizhou Prefectural Center for Disease Control and Prevention,Taizhou 318000,Zhejiang,China)

机构地区：[1]台州市疾病预防控制中心,浙江台州318000

出　　处：《疾病监测》2023年第11期1346-1350,共5页Disease Surveillance

摘　　要：目的了解浙江省台州市2012—2022年急性弛缓性麻痹(AFP)病例的流行特征,并评估AFP病例监测系统运行情况和监测质量。方法对台州市2012—2022年AFP监测病例资料进行整理,采用描述性流行病学方法分析其三间分布及监测敏感性、及时性。结果台州市2012—2022年共报告229例AFP病例,年均报告发病率为2.14/10万,所有AFP病例最终诊断分类均为脊髓灰质炎排除病例。AFP发病无明显季节性,1~4岁组发病率较高(χ^(2)=29.339,P<0.001),男性发病率高于女性(χ^(2)=8.571,P=0.003)。报告后48 h调查率为99.56%,14 d内双份粪便采集率为98.25%,合格粪便采集率、粪便标本7 d内送达率和75 d随访表及时送达率均为97.82%。结论台州市AFP病例主要集中在5岁以下,男性发病率高于女性,异地报告率高。AFP监测系统处于稳定且较高的运行水平,达到国家各项监测指标要求,但仍需提高AFP病例监测敏感性。Objective To understand the epidemiological characteristics of acute flaccid paralysis(AFP)in Taizhou,Zhejiang province,from 2012 to 2022,and evaluate the performance and quality of the AFP surveillance system.Methods The surveillance data of AFP in Taizhou from 2012 to 2022 were collected,and the epidemiological characteristics and surveillance indicators of AFP cases in Taizhou were analyzed by descriptive epidemiological methods.Results A total of 229 AFP cases were reported in Taizhou from 2012 to 2022,with the average annual reported incidence rate of 2.14/100000.All the AFP cases were finally diagnosed as polio-excluded cases.There was no obvious seasonality in the incidence of AFP.The incidence rate in age group 1−4 years was highest(χ^(2)=29.339,P<0.001),and the incidence rate was higher in men than in women(χ^(2)=8.571,P=0.003).The investigation rate within 48 hours after the reporting was 99.56%,and the double stool collection rate within 14 days was 98.25%.The adequate stool collection rate,the stool sample delivery rate within 7 days and the timely delivery rate of the 75−day follow-up form were all 97.82%.Conclusion AFP mainly occurred in children under 5 years old in Taizhou.The incidence rate was higher in men than in women,and the reporting rate from other places was high.The AFP surveillance system had a stable and good performance in Taizhou,meeting the national surveillance requirements.However,it is still necessary to improve the sensitivity of AFP surveillance.

关 键 词：急性弛缓性麻痹 脊髓灰质炎 流行病学 监测 

分 类 号：R211[医药卫生—中医学] R512.4