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目的分析2010-2015年西安市急性弛缓性麻痹(Acute Flaccid Paralysis,以下简称AFP)病例监测系统运转情况,提供监测质量,为维持西安市无脊髓灰质炎(Polio,以下简称脊灰)状态提供理论依据。方法对2010-2015年西安市AFP病例监测系统报告的AFP病例进行流行病学分析,评价监测系统运转情况。结果 2010-2015年共报告西安市本地AFP病例132例,年平均发病率为1.68/10万;病例发生最多的是西安市雁塔区;全年各月份均有AFP病例发生,病例主要集中在4-12月,占全年病例数的87.12%;发病年龄集中在0~5岁组;男女性别比1.75∶1;免疫史≥3剂次的占95.45%;病例疾病谱分类格林巴列综合征居第一位;60~75天随访有22.73%残留麻痹。结论维持西安市无脊灰状态需继续保持高质量的AFP病例监测,切实加强流动儿童的常规免疫接种工作和基层医疗卫生人员的培训工作。
Objective To analyze the operation status of Acute Flaccid Paralysis (AFP) case surveillance system in Xi’an from 2010 to 2015 and provide the quality of monitoring so as to provide theory for the maintenance of Polio (Polio) in Xi’an. in accordance with. Methods Epidemiological analysis of AFP cases reported by Xi’an AFP case surveillance system in 2010-2015 was conducted to evaluate the operation of monitoring system. Results A total of 132 local cases of AFP were reported in Xi’an from 2010 to 2015, with an average annual incidence of 1.68 per 100 000. The most frequent cases were the Yanta district in Xi’an. AFP cases occurred in all months of the year. The cases mainly concentrated in From December to December, accounting for 87.12% of the total number of cases in the year; the age of onset was in the group of 0 to 5 years old; the male-to-female ratio was 1.75:1; the immunization history was ≥3 times, accounting for 95.45% Surrendering first; 60 to 75 days follow-up of 22.73% residual paralysis. Conclusion It is necessary to maintain high-quality AFP surveillance in order to maintain poliomyelitis-free status in Xi’an and effectively strengthen routine immunization of migrant children and training of primary health care workers.