2010-2015年深圳市急性弛缓性麻痹病例流行特征分析

发布时间：2018-03-05 07:11

本文选题：急性驰缓性麻痹　切入点：脊髓灰质炎　出处：《现代预防医学》2017年22期 　论文类型：期刊论文

【摘要】：目的了解深圳市2010-2015年急性驰缓性麻痹病例流行病学特征,发现监测过程中存在问题,为维持无脊髓灰质炎状态提供依据。方法对2010-2015年深圳市福田区报告的AFP病例开展流行病学分析。结果 2010-2015年深圳市福田区共报告AFP病例206例,7例为疫苗相关株病毒病例;15岁以下儿童AFP报告发病率为1.61/10万~2.89/10万,病例报告最多月份为4月,以深圳市其他区为主(75.2%);深圳市儿童医院上报病例最多(91.7%),男女性别比为1.48∶1,病例以0~2岁年龄组为主(59.7%);报告症状最多是发热(52.4%),大部分病例有下肢乏力(90.8%);临床诊断前两位是乏力查因(63.6%)、格林巴利综合征(12.6%),60 d后随访有残留麻痹的有34人(16.5%)。结论 2010-2015年深圳市AFP监测未发现有野病毒株病例,需要继续加强医务人员培训,加大对市民健康教育,保持监测系统高质运行。
[Abstract]:Objective to investigate the epidemiological characteristics of acute flaccid paralysis cases in Shenzhen from 2010 to 2015 and to find out the problems in the surveillance process. Methods Epidemiological analysis was carried out on AFP cases reported in Futian District of Shenzhen City from 2010 to 2015. Results 206 AFP cases were reported in Futian District of Shenzhen City from 2010 to 2015. The reported incidence of AFP in children under the age of 15 years of age is 161 / 100, 000 or 28.9 / 100, 000. The most reported month was April. The most reported cases in Shenzhen Children's Hospital were 91.7%, the ratio of male to female was 1.48: 1, and the cases were mainly 59.7% in the 0 to 2 age group. The most reported symptoms were fever (52.4%), most of the cases had lower extremity fatigue (90.8%); the first two cases were diagnosed clinically. There were 34 patients with residual paralysis after 60 days follow-up. Conclusion No cases of wild virus strain were found in AFP surveillance in Shenzhen from 2010 to 2015. It is necessary to continue to strengthen the training of medical personnel, increase health education for citizens and maintain the high quality operation of the monitoring system.
【作者单位】：深圳市福田区疾病预防控制中心;
【基金】：2015年深圳市福田区卫生公益性科研项目(FTWS2015047)
【分类号】：R181.3;R512.4

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