| 张荣珍,曹雷,李全乐,柴锋,张健,张兰香,张兴录,姜韬,刘霞,王克安.1994年全国急性弛缓性麻痹监测系统工作状况评析[J].Chinese journal of Epidemiology,1995,16(6):332-337 |
| 1994年全国急性弛缓性麻痹监测系统工作状况评析 |
| Evalution of Acute Flaccid Paralysis (AFP) Surveillance system in 1994 |
| Received:June 11, 1995 Revised:June 28, 1995 |
| DOI： |
| KeyWord: 急性弛缓性麻痹 监测 评价 |
| English Key Word: Acute Flaccid Paralysis (AFP) Surveillance Evaluation |
| FundProject: |
| Author Name | Affiliation | | Zhang Rong-zhen | EPI Technical Center, Chinese Academy of Preventive Medicine, Beijing 100050 | | Cao Lei | EPI Technical Center, Chinese Academy of Preventive Medicine, Beijing 100050 | | Li Quan-le | EPI Technical Center, Chinese Academy of Preventive Medicine, Beijing 100050 | | 柴锋 | EPI Technical Center, Chinese Academy of Preventive Medicine, Beijing 100050 | | 张健 | EPI Technical Center, Chinese Academy of Preventive Medicine, Beijing 100050 | | 张兰香 | EPI Technical Center, Chinese Academy of Preventive Medicine, Beijing 100050 | | 张兴录 | 中国预防医学科学院 | | 姜韬 | 中国预防医学科学院 | | 刘霞 | 中国预防医学科学院 | | 王克安 | 中国预防医学科学院 |
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| Abstract: |
| 1994年全国AFP监测系统共报AFP病例3 142例,比1993年增加40.2%。全国有1 297个县报告了AFP病例,占全国总县(区)数的45.1%。其中确诊脊灰307例。波及225个县(区)。15岁以下儿童AFP报告发病率为1.1/10万,非脊灰AFP报告发病率为0.83/10万,比1993年的0.37/10万有较大幅度的上升。AFP病例0~14天内双份标本采集率为48.5%,48小时调查率为79%,接近要求目标水平。但AFP病例就诊后报告及时率及60~70天的随访率仍较低。尤其是77.9%的确诊病例及46.4%的排除病例仍依据60天残留麻痹的情况而定,应进一步提高依据实验室监测结果的诊断水平。 |
| English Abstract: |
| Increased by 40.2% compared with 1993, 3142 acute flaccidparalysis cases were reported from AFP surveillance system in 1994. A total number of 1297 counties had AFP cases reported, accounting for 45.1% of total amount of counties. Out of 3142 AFP cases, 307 were confirmed, coming from 225 counties. For children under 15 years old, the reported AFP incidence was 1.1/105, non-polio AFP rate was 0.83/105,much higher than 0.37/105, in 1993. 48.5% of the total AFP cases had double stool specimen taken with in 0-14 days after paralysis. 79% AFP cases had been investigated within 48hours after being reported. Some of the major monitoring indicators of AFP surveillance system were close to the WHO criterion, but the percentage of AFP cases reported within 48 hours of careseeking and AFP cases with follow-up visit after 60-70 days of paralysis were very low. Furthermore, 77.9% of the confirmed cases were diagnosea clinically by residual paralysis, so did the 46.4% of discarded cases. It is in urgent need to increase the percentage of cases classified by laboratory test. |
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