| 徐爱强,李黎,赵世立,刘桂芳,杜伯勤,宋立志,王爱莲,郝淑珍,李漫时,刘建军,千叶靖男,岳崎俊郎.济南地区儿童急性弛缓性麻痹发病情况的初步调查[J].Chinese journal of Epidemiology,1994,15(3):138-140 |
| 济南地区儿童急性弛缓性麻痹发病情况的初步调查 |
| Preliminary Investigation on Acute Flaccid Paralysis (AFP) Cases in Jinan Area |
| Received:April 05, 1993 |
| DOI： |
| KeyWord: 急性弛缓性麻痹 脊髓灰质炎 |
| English Key Word: Acute flaccid paralysis (AFP) Poliomyelitis |
| FundProject: |
| Author Name | Affiliation | | Xu Aiqiang | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | Li Li | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | Zhao Shili | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 刘桂芳 | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 杜伯勤 | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 宋立志 | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 王爱莲 | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 郝淑珍 | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 李漫时 | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 刘建军 | Shandong Provincial Hygiene and Epidemic Prevention Station, Jinan 250014 | | 千叶靖男 | 日本JICA控制脊灰项目援鲁专家 | | 岳崎俊郎 | 日本JICA控制脊灰项目援鲁专家 |
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| Abstract: |
| 对济南地区儿童急性弛缓性麻痹(AFP)发病情况进行了医院调查。共发现12岁以下AFP病例80例,其中脊灰17例(占21.25%),格林巴利氏综合征(GBS)40例(占50.00%),其它AFP病例23例(占28.75%)。发病多集中于5~10月份,各病之间无显著性差异(P>0.05),但脊灰病例发病之平均年龄显著低于非脊灰AFP病例(P<0.01);分析其疫情报告情况,脊灰、GBS及其它AFP病例的报告率分别为100.00%、12.50%和43.75%(χ2=38.28,P<0.01)。上述病例集中于济南市及其邻界5个地市,共65例(占81.25%),以12岁以下儿童人口数计算,所有AFP、非脊灰AFP以及GBS病例的发病率分别为1.11/10万、0.89/10万和0.53/10万。该结果有助于初步了解我国北方省份AFP病例的发病状况,并提示目前我省脊灰疫情监测系统尚不够灵敏,仍需加强医院对AFP病例的疫情报告和防疫部门的疫情主动监测工作。 |
| English Abstract: |
| Eighty AFP cases under 12 years old from 6 hospitals in Jinan were investigated. Among them, there were 17 (21.25%) cases with poliomyelitis (POLIO), 40 (50.00%) cases with Guillian-Barre syndrome (GBS) and 23 (28.75%) cases with other AFP diseases. Most AFP cases occurred from May to October and no significant seasonal difference was found for each kind of AFP cases (P>0.05), but the average age for POLIO cases (1.55±1.24) was significantly lower than that for non-POLIO AFP cases (3.76±2.58) (P<0.01). The reporting rate from hospitals to each level of epidemic prevention station (EPS) for POLIO, GBS and other AFP cases were 100%, 12.50% and 43.75%, respectively (P<0.01). Sixty-five AFP cases occurred in 6 prefectures around Jinan city. The average incidence rate (per100,000) for total AFP, non-POLIO AFP and GBS cases among children under 12 years old were 1.11, 0.89 and 0.53, respectively. The results are helpful to estimate the incidence of AFP cases among children in north provinces of China and also indicate that the POLIO surveillance system in Shandong Province at the present is not sensitive enough, so the AFP cases reporting work of hospitals and the surveillance at each level of EPS should be enhanced. |
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