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目的 掌握新生儿破伤风（ Ｎ Ｎ Ｔ） 实际发病水平及发病因素，以便为制定消除策略提供依据，海南省于１９９７ 年开展了 Ｎ Ｎ Ｔ 监测工作。方法 监测运用急性弛缓性麻痹（ Ａ Ｆ Ｐ） 监测方法，并与之同时运行。结果 全年共监测病例２１６ 例，远高于疫情报告７８ 例。监测结果表明：在家分娩、旧法接生是发病主因。病儿母亲８８ ．８９ ％ 无破伤风类毒素（ Ｔ Ｔ） 免疫史。三亚市、琼中县的监测资料表明，由于育龄妇女 Ｔ Ｔ 免疫率提高， Ｎ Ｎ Ｔ 发病率较１９９６ 年分别下降６１ ．２９ ％ 、８２ ．０５ ％ 。结论 提高育龄妇女 Ｔ Ｔ 接种率是实现消除 Ｎ Ｎ Ｔ 最经济简便的措施，将 Ｎ Ｎ Ｔ 监测工作纳入 Ａ Ｆ Ｐ监测系统同时运行是行之有效的。
Objective To understand the actual incidence of neonatal tetanus (N N T) and the risk factors in order to provide a basis for the development of elimination strategies. Hainan Province conducted N N T monitoring in 1997. Methods Monitored and co-ordinated with AFP monitoring methods. Results A total of 216 cases were monitored in the year, much higher than the 78 cases reported. Monitoring results show that: at home delivery, the old law is the main cause of morbidity. Sick mother 89% No history of tetanus toxoid (T T) immunization. Monitoring data in Sanya City and Qiongzhong County show that the incidence of N T T decreased by 61% as compared with 1996 due to an increase in the T T immunity rate among women of childbearing age. 29%, 82. 05%. Conclusion Increasing the T T vaccination rate of women of childbearing age is the most economical and convenient measure to eliminate N N T and it is effective to integrate N N T monitoring into the A F P monitoring system simultaneously.