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1991~2001年宁波市急性弛缓性麻痹病例监测系统评价

Evaluation of AFP Case Surveillance System During 1991~2001 in Ningbo
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摘要 目的 评价急性弛缓性麻痹 (AFP)病例监测系统运转情况。 方法 对 1 991~ 2 0 0 1年宁波市AFP病例监测系统资料用SPSS软件进行统计分析。 结果  1 991~ 2 0 0 1年全市共报告AFP病例 1 71例 ,未发现脊灰野病毒引起的病例。病例分布在全市 1 1个县 (市、区 ) ;发病以 5岁以下儿童为主 ,占 80 1 % ;男性发病多于女性 ;免疫史 <3次者占8 2 % (主要为流动儿童 ) ;1 71例均为排除脊灰病例 ,最终诊断以格林巴利综合征最多 ,占 2 1 6 % ;自 1 995年起 ,1 5岁以下儿童非脊灰AFP病例连续 7年报告发病率 >1 / 1 0万 ,1 997年起其余各项主要监测指标均达到了 80 %的要求。 结论 为维持无脊灰状态 ,仍需加强流动儿童管理 ,保持AFP监测系统的敏感性、及时性。 Objective To evaluate the working quality of Acute Flaccid Paralysis(AFP) case surveillance system. Methods Analyze the data of AFP cases reported by AFP surveillance system of the whole city by SPSS software. Result In 1991~2001,171 AFP cases were reported in Ningbo city, no wild polio virus was detected since 1991. These AFP cases were distributed in 11 counties(city,district). The age of AFP cases was mainly 0~5 years old, accounting for 80.1%,higher incidence in male than in female.Of all the AFP cases, the immunization rate of OPV <3 doses was 8.2%, mainly were floating children. The 171 AFP cases were all discarded polio cases, the rate of Guillain-Barre Syndrome(GBS) of these cases was 21.6%. The reported incidence of non-polio AFP cases of children under 15 years old has been over 1/1000,000 for seven years since 1995. Other indexes of the surveillance system have been above 80% since 1997. Conclusion For consolidating the polio-free, we should enhance the control over floating children, keep the sensitivity and completeness of AFP surveillance system.
出处 《实用预防医学》 CAS 2003年第2期156-158,共3页 Practical Preventive Medicine
关键词 急性弛缓性感痹 脊髓灰质炎 监测 Acute Flacccid Paralysis(AFP) Poliomyelitis Surveillance
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