| 王钊,杨保平,李慧芳,张荣珍,张振馨,周军,董胜利,张健,李全乐,张兴录,戴斐,徐爱强,陈小春,楚金贵,Mac. Otten.我国部分脊髓灰质炎高发省急性弛缓性麻痹病例发病情况调查[J].中华流行病学杂志,1995,16(3):131-136 |
| 我国部分脊髓灰质炎高发省急性弛缓性麻痹病例发病情况调查 |
| An Investigation on Acute Flaccid Paralysis (AFP) Cases in some Provinces with high Risk of Poliomyelitis of China |
| 收稿日期:1994-12-10 出版日期:2021-05-22 |
| DOI： |
| 中文关键词: 急性弛缓性麻痹 监测 发病率 |
| 英文关键词: AFP Surveillance Prevalence |
| 基金项目: |
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| 摘要点击次数: 1451 |
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| 中文摘要: |
| 1994年6月中旬卫生部疾病控制司专业考察小组,在我国十个脊髓灰质炎(脊灰)高发省份随机抽取20个地区,对其45所地(市)级和13所县级医院进行了AFP病例的主动搜索,共查出1991~1994年5月发病的AFP病例681例,分布于101个县市。结果表明:0~14岁儿童AFP、脊灰、非脊灰AFP及GBS年平均发病率分别为1.04/10万、0.48/10万、0.57/10万及0.31/10万,其中脊灰发病率明显较1991年下降,其构成比由1991年的第一位逐年降低;此外,约95%的脊灰患者分布于0~4岁组,表明0~4岁儿童应为今后监测和保护的重点;非脊灰AFP发病率具有明显的地区性差异,认为采用"0~4岁非脊灰AFP发病率>1/10万"作为监测系统敏感性指标似更合乎国情。 |
| 英文摘要: |
| In the mid Jun, 1994, a study team organized by MOPH investigated AFP cases in 10 provinces with high prevalence of poliomyelitis (polio). Twenty prefectures and ten counties were selected randomly from each of 10 provinces and relevant prefectures. The team identified 681 AFP cases under 15 years old from 45 hospitals at prefecture level and 13 hospitals at county level based on hospital records from cases occurred during 1991-1994. AFP, Polio, Non-polio AFP and GBS (Guillian-Barre Syndrome) cases aged from 0-14 years scattered around 101 counties (cities) among target population and their average incidences by year were 1.04, 0.48, 0.57 and 0.31 (per 105) respectively. Noticingly, the incidence of polio had reduced significantly since 1991, and its proportion among AFP was also reducing from first place yearly since 1991. In addition, over 95%of the polio cases were concentrated in the 4 year olds which indicated that the target population for surveillance and prevention should mainly be focusing on 0-4 year olds. As the incidence of non -polio AFP has been used as a current sensitive index of surveillance system, we noticed that the incidence rates had been significantly different from various regions. According to the analytic data, we recommend that "Rate of non-polio AFP in children 0-14 years of age greater than 1/105" might be a better and more sensitive index for surveillance program in China. |
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