96例急性迟缓性麻痹病例监测分析

目的：观察急性迟缓性麻痹病例（AFP）在我市的发病状况。方法：对96例急性迟缓性麻痹病人采集48h内粪便进行病毒分离，并进行个案调查与随访。结果：96例中，7例分布于城镇，89例分布于农村；格林-巴利综合征55例（57.3%）-横断性脊髓炎16例（16.6%）、神经炎11例（11.5%）、重症肌无力12例（12.5%）、与疫苗相关的脊髓灰质炎AFP病例（VAPP）2例（2.08%）。结论：防疫部门与各级医院加强合作和直接管理能及时了解发病状况。市髓灰质炎减毒疫苗（OPV）免疫工作尚存不足，宣讲教育应进一步加强。

SURVEILLANCE TO THE ACUTE FLACCID PARALYSIS IN CHILDREN

Objective To explore the occurrence of Acute Flaccid Paralysis(AFP) in children and undergo surveillance.Methods All 96 cases underwent corresponding laboratory examination to ensure diagnosis and collected stool in 48h to separate virus.Results In all cases,7 cases resided in urban and the other 89 cases lived in country;Among them,there were 55 cases Guillain Barre syndrome (57.3%),16 cases of Myelitis(16.6%),11 cases of neuropathy(11.5%),12 cases of myasthenia gravis(12.5%),and 2 cases of polimyelitis(VAPP) (2.08%).Conclusion The surveillance department and hospital sshould coorporate closely.There is still shortage in our immunilization planning work,and advocation and corresponding knowledge should be further.