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对江苏省1991~1997年267例残留麻痹的急性弛缓性麻痹(AFP)病例的流行病学特征、病毒学分类及疾病谱进行了分析,结果表明:①63.7%的病例为4岁以下儿童,男女之比为1.59:1,4~8月发病较多,主要分布在苏北地区;②引起残留麻痹的疾病以格林巴利综合征、创伤性神经炎、临床脊髓灰质炎(脊灰)和非脊灰肠道病毒感染为多;③麻痹以单下肢为主,其次为双下肢和四肢麻痹;④临床符合病例约占AFP病例的12.2%,呈明显减少趋势;⑤服苗后4~35天内发生病例约占2.7%。
The epidemiological characteristics, virological classification and disease spectrum of 267 acute flaccid paralysis (AFP) cases of residual paralysis in Jiangsu Province from 1991 to 1997 were analyzed. The results showed that: (1) 63.7% of the cases were children under 4 years of age , Male to female ratio of 1.59: 1, 4 to August more incidence, mainly in the northern Jiangsu area; ② residual paralysis caused by Guillain-Barre syndrome, traumatic neuritis, clinical poliomyelitis Gray) and non-polio enterovirus infections; (3) paralysis was mainly in the lower extremities, followed by paralysis of both lower extremities and extremities; (4) clinically matched cases accounted for about 12.2% of AFP cases, showing a clear trend of decrease; (5) Post-emergence 4 to 35 days occurred in about 2.7% of cases.