| 1995～2004年甘肃省通渭县急性弛缓性麻痹病例监测结果分析 |
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| 引用本文： | 南兴远,何巨堂. 1995～2004年甘肃省通渭县急性弛缓性麻痹病例监测结果分析[J]. 疾病监测, 2006, 21(5): 253-257. DOI: 10.3784/j.issn.1003-9961.2006.5.253 |
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| 作者姓名： | 南兴远 何巨堂 |
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| 作者单位： | 甘肃省通渭县疾病预防控制中心,甘肃,通渭,743300;甘肃省通渭县疾病预防控制中心,甘肃,通渭,743300 |
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| 摘 要： | 目的评价1995～2004年通渭县急性弛缓性麻痹病例的发病特征及其监测系统的运行状况,提升监测工作水平,以适应新形势下监测工作要求。方法应用流行病学方法,对监测资料进行整理、分析和评价。结果1995～2004年累计监测AFP病例26例,年发病率最低0.9/10万,最高达7.2/10万,平均发病率2.4/10万;发病率存在男性以小年龄为主,4岁以下占78.7%,而女性4岁以下仅占34.8%;格林-巴利综合征占AFP病例的69.2%,差异具有非常显著意义(P<0.001)。病例调查、采便、合格粪便送检及病后60d随访等项指标均达到了国家规定要求;病例及周围人群免疫史(平均服苗)达到了5次以上。病例报告及时率只有61.0%,乡镇以下卫生单位报告病例仅占15.4%。结论AFP病例存在年度高发现象;格林-巴利综合征是AFP病例的主要病种;全县近10年来的AFP监测和保持无脊灰状态工作成效显著,但乡镇以下卫生单位的报告工作仍有待加强。调动乡村两级临床医生报告AFP病例的积极性和主动性是提升监测工作水平的首要任务。
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| 关 键 词： | AFP病例 监测结果 分析 |
| 文章编号： | 1003-9961（2006）05-0253-04 |
| 收稿时间： | 2005-12-05 |
| 修稿时间： | 2005-12-052006-03-09 |
Analysis on monitoring results for cases of acute flaccid paralysis (AFP) in Tongwei County from 1995 to 2004 |
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| NAN Xing-yuan,HE Ju-tang. Analysis on monitoring results for cases of acute flaccid paralysis (AFP) in Tongwei County from 1995 to 2004[J]. Disease Surveillance, 2006, 21(5): 253-257. DOI: 10.3784/j.issn.1003-9961.2006.5.253 |
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| Authors: | NAN Xing-yuan HE Ju-tang |
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| Affiliation: | 1.Tongwei County Center for Disease Control and Prevention of Jiangsu Province;Tongwei 743300 China; |
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| Abstract: | Objective This study was designed to evaluate the pathogenic characteristics of cases of acute flaccid paralysis in Tongwei County from 1995 to 2004, as well as the operation of monitoring system, so as to promote the level of monitoring work and meet requirements of monitoring under new situations. Methods An epidemiological method was used for collection, analysis and evaluation of monitoring data. Results Total 26 cases of AFP were monitored from 1995 to 2004, and the annual incidence rates were 0.9/lakh at minimum and 7.2/lakh at maximum, and the average incidence rate was 2.4/lakh. Male cases were largely young children, and there were 78.7% of the male aged below 4 years, while only 34.8% of the female aged below 4 years, and there were 69.2% of Guillain-Barre syndrome (GBS) among the cases of AFP, which showed a difference of very remarkable significance (P< 0.001). Survey of cases, feces sampling and test, follow-up of 60 days after cure of disease, etc. met relevant requirements of national regulations, and there were above 5 times of immunity history (average times of taking vaccine) for cases and around people. The rate of timely report for cases was only 61.0%, and cases reported from health units below levels of village and town occupied only 15.4%. Conclusion For AFP cases, there exist high incidence rate in some year, and AFP cases were mostly of Guillain-Barre syndrome (GBS). For the whole county, achievement for AFP monitoring in recent 10 years and for keeping no case of poliomyelitis was significant, while the report work of health units below levels of village and town was still to be strengthened. The most important task for improvement of monitoring work level is to stimulate the enthusiasm and initiative of clinical doctors at levels of village and town for reporting AFP cases. |
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| Keywords: | acute flaccid paralysis case surveillance results analysis |
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