摘要
目的 :了解陕西省急性弛缓性麻痹 (AFP)病例疾病谱和发病特征。方法 :对陕西省 1998～ 2 0 0 0年AFP病例监测系统的个案流行病学调查表、随访表及其它监测资料进行统计分析。结果 :AFP病例疾病谱前四位的疾病是 :格林—巴利综合症 (GBS)、创伤性神经炎、不明原因瘫和脊髓炎。GBS无地域、发病年龄组特征 ,以 5～ 9月呈高峰 ,麻痹部位以四肢和双下肢为主 ,占总数的 88 8% ,麻痹后 6 0～ 70d随访时 5 6 1%患者恢复 ;创伤性神经炎发生与病前感染 (病毒分离率2 9 9% )、尔后进行不正确的注射有关。结论 :医生应按正规操作进行注射 ;AFP病例个案资料的局限以及未提供病历 ,影响专家组的诊断 ,导致不明原因瘫病例居多 ,应引起各级防疫部门重视 ;脊髓炎病例发病前有感染 (病毒分离率 35 5 % ) ,以四肢、双下肢麻痹为主占 82 9% 。
Objective: To study the disease spectrum and incidence characteristics of acute flaccid paralysis (AFP) cases reported during the period 1998-2000 in Shanxi province. Methods: AFP cases collected in the years 1998-2000 from the individual questionaire of epidemiologic survey, the follow-up survey and other data of AFP surveillance institution were statistically analysed. Results: The results showed that the top 4 diseases in the spectrum were Guillan-Barre Syndrome (GBS), traumatic neuritis, paralysis caused by etiologically unidentified agent and myelitis. GBS incidence peaked from May through September, with mainly (88.8%) 4-limb and 2-lower-limb paralysis, but without evident geographical and age regularities. 56.1% cases recovered on days 60～70 after paralysis. Incideuce of traumatic neuritis was related to pre-infection (virus separation rate 29.9%) and to subsequently incorrect treatment injection. Conclusion: 1) Injection for treatment should be correctly and properly done by qualified medical personnel. 2) Limited data of individual AFP case resulted in the heightening of incidence of paralysis patients with unknown causes. This is a problem which should be solved out by corresponding healthy agencies. 3) The diagnosis of myelitis can be usually confirmed by commitant symptoms and signs? viral pre-infection (virus separation position rate 35.5%)and 4-limb or 2-lower limb paralysis
出处
《宁夏医学院学报》
2002年第1期12-14,共3页
Journal of Ningxia Medical College
