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目的为了解嵊州市常规免疫接种率监测系统的现状。方法采用差值(D值)和比值(R值)评价方法对2003～2005年的监测资料进行比较分析。结果2003～2005年卡介苗、口服脊髓灰质炎疫苗、百白破联合疫苗、麻疹疫苗、乙型肝炎疫苗的常规免疫报告接种率均>99%,而估算接种率在75.57%～95.12%之间,与报告接种率相差较大。D值显示2003和2004年D值不可信,2005年可疑。R值显示2003和2005年报告资料可疑,2004年报告资料不可信。结论常规免疫监测数据存在偏高现象,主要与乡镇免疫工作人员业务素质较低,流动儿童的免疫规划管理不完善有关。应加强对免疫接种的监督管理和技术培训,完善流动儿童免疫接种管理。
Objective To understand the status of routine immunization surveillance system in Shengzhou. Methods The difference data (D value) and ratio (R value) were used to analyze the monitoring data from 2003 to 2005. Results The routine immunization reports of BCG vaccine, oral polio vaccine, diphtheria combination vaccine, measles vaccine and hepatitis B vaccine were both more than 99% in 2003-2005, while the vaccination rates were estimated between 75.57% and 95.12% The reported vaccination rates vary greatly. The value of D shows that the value of D in 2003 and 2004 is not credible and was suspicious in 2005. The R value shows that the information reported in 2003 and 2005 is suspicious, and the information reported in 2004 is not credible. Conclusions There is a high level of routine immunosurveillance data, which is mainly related to the low professional quality of immunization staff in villages and towns and the imperfect immunization planning of migrant children. We should strengthen the supervision and management of immunization and technical training, and improve the management of immunization of migrant children.