重庆市涪陵区儿童少年麻疹风疹流腮监测及防控对策

发布时间：2018-06-02 18:58

本文选题：麻疹 + 风疹　；参考：《现代预防医学》2017年07期

【摘要】：目的监测重庆市涪陵区儿童少年麻疹、风疹、流腮免疫水平。方法于2014年9-10月采取整群抽样法抽取涪陵区5个方位监测点2~15岁儿童少年3 230人并采其全血20μl,采用酶联免疫法进行麻疹、风疹、流腮IgG抗体定性检测,使用SPSS进行卡方检验分析检测数据。结果检测3 230人麻疹、风疹、流腮抗体,阳性率依次为91.30%、88.76%、87.96%。不同性别间麻疹、不同年龄组麻疹、风疹抗体阳性率差异具有统计学意义(X~2值分别为6.527、8.158、9.712,P0.05),不同方位监测点托幼机构儿童(X~2值分别为26.862、19.593、68.404,P0.05)、中小学生(X~2值分别为9.820、122.268、61.840,P0.05)麻腮风抗体阳性率差异均具有统计学意义,城区与乡镇儿童青少年风疹、流腮抗体阳性率差异均具有统计学意义(X~2值分别为10.032、11.929,P0.05)。结论重庆市涪陵区儿童少年麻疹、风疹、流腮疫苗保护屏障已基本建立,但仍存在疫苗保护较薄弱环节,应重点关注涪陵西部地区风疹、流腮的疫情监测及相关查漏补种工作、关注中小学校相关疾病的监测,同时应加强健康教育及疫苗推广应用,提高较偏远地区群众的意识,进一步提高免疫覆盖率。
[Abstract]:Objective to monitor the level of measles, rubella and mumps immunity in children and adolescents in Fuling District of Chongqing city. Methods a group sampling method was adopted in 9-10 months of 2014 to extract 3230 children and adolescents from 5 azimuth monitoring points in Fuling district and take the whole blood 20 mu L. The qualitative detection of measles, rubella, and IgG antibody of mumps by ELISA and SPSS were used for chi square test. Results the results of measles, rubella, and mumps antibody were detected in 3230 people, and the positive rate was 91.30%, 88.76%, 87.96%., measles, measles and rubella antibody positive rates in different age groups (X~2 value 6.527,8.158,9.712, P0.05), and children of different location monitoring point (X~2 value of 26.862, respectively, was 26.862, respectively. 19.593,68.404, P0.05), primary and secondary school students (X~2 value of 9.820122.268,61.840, P0.05) gill wind antibody positive rate differences are statistically significant, urban and township children and adolescents rubella, gill antibody positive rate difference is statistically significant (X~2 value is 10.032,11.929, P0.05). Conclusion the measles in Fuling District, Chongqing City, measles The protection barrier of rubella and mumps vaccine has been basically established, but there is still a weak link in the protection of vaccine. We should focus on the measles in the western region of Fuling, monitoring the epidemic situation of the mumps and related leak detection, and pay attention to the monitoring of related diseases in primary and secondary schools. At the same time, the application of health education and vaccine promotion should be strengthened to improve the meaning of the people in the more remote areas. Understanding, further improve the immune coverage.
【作者单位】：重庆市涪陵区疾病预防控制中心;
【基金】：重庆市涪陵区科技计划项目FLKJ,2015ABB1091
【分类号】：R725.1;R181.8

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