2004-2010年浙江省台州市新生儿破伤风流行病学特征分析

目的 分析台州市2004-2010年新生儿破伤风(NT)流行病学特征,提出控制NT的策略和措施。 方法 对台州市2004-2010年法定传染病报告系统和NT监测系统发病资料,用Excel软件进行统计分析。 结果 2004-2010年NT报告病例89例,发病率为0.18%,报告病例数最多的是温岭市;2、6和11月高发;报告病例男女性别比为1.41: 1;患儿母亲均未接种过破伤风类毒素,接受过产前检查者39.33%;患儿除1例以外均未在医院中出生,大多由未经培训的接生员接生。 结论 2004-2010 年台州市NT病死率无明显上升趋势。今后仍需加强NT疫情监测工作,对孕产妇加强健康教育,接种破伤风类毒素,加强基础卫生服务等综合措施,以有效地控制NT。

Epidemiology of neonatal tetanus in Taizhuo,Zhejiang,2004-2010

Objective To understand the epidemiological characteristics of neonatal tetanus(NT) in Taizhou and provide scientific evidence for the prevention and control of neonatal tetanus.Methods By using Excel software,statistical analysis was performed based on the incidence data of NT in Taizhou from 2004 to 2010,which was obtained from the notifiable communicable disease reporting system and NT surveillance system.Results A total of 89 NT cases occurred in Taizhou during this period with the incidence of 0.18%.The case number in Wenling was highest.The cases mainly occurred in February,June and November and the male to female ratio was 1.41∶1.All the mothers of sick infants received no tetanus vaccination,and only 39.33% of the mothers received prenatal examination.Nearly all the sick infants were not born in the hospital(except 1 infant) and were delivered by untrained midwifes.Conclusion No obvious increase of NT death was found in Taizhou during 2004-2010,but it is still necessary to strengthen the NT surveillance and health education about NT,conduct tetanus vaccination and provide primary health service for pregnant women to reduce the incidence of NT.