河南省儿童急性弛缓性麻痹病例流行病学分析
发布时间：2018-11-15 15:15
【摘要】：目的了解河南省15岁以下儿童急性弛缓性麻痹病例(Acute Flaccid Paralysis,AFP)流行病学特征,为其防控策略制定提供科学依据。方法对2004-2012年河南省急性弛缓性麻痹病例监测系统报告5 247例15岁以下AFP病例进行描述性分析。结果河南省15岁以下儿童AFP病例主要表现为散发,年平均发病率为2.92/10万,其中郑州、安阳和济源发病率居前三位,分别为4.55/10万、4.48/10万和4.19/10万。发病高峰多出现于每年8-10月和3月,0~4岁组发病率较高。男性发病率高于女性,男女性别比为2.16∶1。891例AFP病例分离出肠道病毒,肠道病毒分离率为16.98%。15.04%的病例麻痹60 d有残留麻痹。结论河南省15岁以下儿童AFP病例以小年龄组为主,发病高峰多出现于夏秋季、春季,男性发病率高于女性,儿童AFP病例残留麻痹率较高,应及时采取措施降低致残率。
[Abstract]:Objective to investigate the epidemiological characteristics of acute flaccid paralysis (Acute Flaccid Paralysis,AFP) in children under 15 years of age in Henan Province, and to provide scientific basis for the formulation of prevention and control strategies. Methods A descriptive analysis of 5 247 cases of AFP under 15 years old reported by Henan acute flaccid paralysis surveillance system from 2004 to 2012 was carried out. Results the prevalence of AFP in children under 15 years of age in Henan Province was mainly sporadic, the annual average incidence rate was 2.92 / 100 thousand, among which Zhengzhou, Anyang and Jiyuan were among the top three, with 45,550,000 / 100,000, respectively. 4.48% 100,000 and 4.19% 100,000. The highest incidence occurred in August-October and March each year, and the incidence rate was higher in 0-4-year-old group. The incidence of enterovirus in male was higher than that in female, and the ratio of male to female was 2.16: 1.891 cases of AFP. The isolation rate of enterovirus was 16.98.15.04% of the cases had residual paralysis for 60 days. Conclusion the incidence of AFP in children under 15 years old in Henan Province is mainly in the small age group, the peak of which is in summer and autumn. The incidence rate of male is higher than that of female in spring, and the rate of residual paralysis in children with AFP is higher. Therefore, measures should be taken to reduce the rate of disability in time.
【作者单位】： 河南省疾病预防控制中心免疫规划所;河南中医学院第一附属医院AIDS临床研究中心;
【分类号】：R725.1;R181.3
[Abstract]:Objective to investigate the epidemiological characteristics of acute flaccid paralysis (Acute Flaccid Paralysis,AFP) in children under 15 years of age in Henan Province, and to provide scientific basis for the formulation of prevention and control strategies. Methods A descriptive analysis of 5 247 cases of AFP under 15 years old reported by Henan acute flaccid paralysis surveillance system from 2004 to 2012 was carried out. Results the prevalence of AFP in children under 15 years of age in Henan Province was mainly sporadic, the annual average incidence rate was 2.92 / 100 thousand, among which Zhengzhou, Anyang and Jiyuan were among the top three, with 45,550,000 / 100,000, respectively. 4.48% 100,000 and 4.19% 100,000. The highest incidence occurred in August-October and March each year, and the incidence rate was higher in 0-4-year-old group. The incidence of enterovirus in male was higher than that in female, and the ratio of male to female was 2.16: 1.891 cases of AFP. The isolation rate of enterovirus was 16.98.15.04% of the cases had residual paralysis for 60 days. Conclusion the incidence of AFP in children under 15 years old in Henan Province is mainly in the small age group, the peak of which is in summer and autumn. The incidence rate of male is higher than that of female in spring, and the rate of residual paralysis in children with AFP is higher. Therefore, measures should be taken to reduce the rate of disability in time.
【作者单位】： 河南省疾病预防控制中心免疫规划所;河南中医学院第一附属医院AIDS临床研究中心;
【分类号】：R725.1;R181.3
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