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[目的]探讨2007年福州地区麻疹病例流行病学特征。[方法]回顾性分析福州市传染病医院2007年收治的住院麻疹病例资料。[结果]总发病数388例,其中男230例(59.3%),女158例(40.7%);小于8月龄者占20.6%,8月龄至5岁组占46.6%,6～15岁组占7.0%,15岁以上组占25.8%;1～10月均有病例,其中4～8月最多(85.3%);本地人口发病率占92.8%(360/388),外来人口仅占7.2%(28/388);接种过疫苗者只占11.0%(34/308)。对313例标本进行IgM和IgG检测,阳性率分别为78.0%和30.0%。IgG阳性率随着年龄的增长而降低。[结论]麻疹发病特征与以往报道有些不同,麻疹流行因素还存在,疫苗免疫策略多环节需做较大改进。麻疹IgM抗体可作为确诊指标,IgG抗体可作为流行病学调查的指标。
[Objective] To explore the epidemiological characteristics of measles cases in Fuzhou in 2007. [Methods] Retrospective analysis of hospitalized cases of infectious measles in 2007 in Fuzhou Infectious Disease Hospital. [Results] The total incidence of 388 cases, including 230 males (59.3%) and 158 females (40.7%); less than 8 months of age accounted for 20.6%, 8 months to 5 years old group accounted for 46.6%, 6 to 15 years Group accounted for 7.0%, 15% of the group accounted for 25.8%; 1 to 10 months were all cases, of which 4 to August the most (85.3%); local population incidence accounted for 92.8% (360/388), foreign population accounted for only 7.2 % (28/388). Only 11.0% (34/308) were vaccinated. 313 cases of specimens of IgM and IgG detection, the positive rates were 78.0% and 30.0%. IgG positive rate decreases with age. [Conclusion] The incidence of measles is somewhat different from those reported in the past, and the prevalence of measles still exists. The immunization strategy should be greatly improved in many aspects. Measles IgM antibodies can be used as a diagnostic indicator, IgG antibodies can be used as an indicator of epidemiological investigations.