中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
21期
65-68
,共4页
麻疹%监测%控制%实验室
痳疹%鑑測%控製%實驗室
마진%감측%공제%실험실
Measles%Surveillance%Control%Laboratory
目的：为提高当地麻疹监测系统（MSS）运转水平，做好麻疹监测和疫情应急处置工作，并为证实消除麻疹工作提供基础资料。方法对2009～2012年MSS实验室监测资料进行描述分析。结果2009～2012年报告麻疹疑似病例（MLI）分别为322例、485例、70例和61例，确诊病例发病率（/10万）分别为2.98，4.75，0.37，0.11，实验室诊断病例分别为55例、52例、23例、2例。各年度MLI标本采集率在19.87%～83.61%，差异有显著性（P＜0.05），麻疹IgM检测后7日内报告率分别在52.94%～94.23%,差异有显著性（P＜0.05）。麻疹发病呈散发，＜3岁年龄组病例占全部实验室诊断病例的51.52%（68/132）。≥20年龄组占全部实验室诊断病例的32.58%(43/132)，132例实验室确诊病例中，未有麻疹疫苗接种史者42.42%。结论全市近年来MSS运转情况正常，麻疹发病率得到控制，要关注＜8月龄的儿童和成人麻疹发病情况，并提出了提高麻疹疫苗接种率是今后工作的重点之一。
目的：為提高噹地痳疹鑑測繫統（MSS）運轉水平，做好痳疹鑑測和疫情應急處置工作，併為證實消除痳疹工作提供基礎資料。方法對2009～2012年MSS實驗室鑑測資料進行描述分析。結果2009～2012年報告痳疹疑似病例（MLI）分彆為322例、485例、70例和61例，確診病例髮病率（/10萬）分彆為2.98，4.75，0.37，0.11，實驗室診斷病例分彆為55例、52例、23例、2例。各年度MLI標本採集率在19.87%～83.61%，差異有顯著性（P＜0.05），痳疹IgM檢測後7日內報告率分彆在52.94%～94.23%,差異有顯著性（P＜0.05）。痳疹髮病呈散髮，＜3歲年齡組病例佔全部實驗室診斷病例的51.52%（68/132）。≥20年齡組佔全部實驗室診斷病例的32.58%(43/132)，132例實驗室確診病例中，未有痳疹疫苗接種史者42.42%。結論全市近年來MSS運轉情況正常，痳疹髮病率得到控製，要關註＜8月齡的兒童和成人痳疹髮病情況，併提齣瞭提高痳疹疫苗接種率是今後工作的重點之一。
목적：위제고당지마진감측계통（MSS）운전수평，주호마진감측화역정응급처치공작，병위증실소제마진공작제공기출자료。방법대2009～2012년MSS실험실감측자료진행묘술분석。결과2009～2012년보고마진의사병례（MLI）분별위322례、485례、70례화61례，학진병례발병솔（/10만）분별위2.98，4.75，0.37，0.11，실험실진단병례분별위55례、52례、23례、2례。각년도MLI표본채집솔재19.87%～83.61%，차이유현저성（P＜0.05），마진IgM검측후7일내보고솔분별재52.94%～94.23%,차이유현저성（P＜0.05）。마진발병정산발，＜3세년령조병례점전부실험실진단병례적51.52%（68/132）。≥20년령조점전부실험실진단병례적32.58%(43/132)，132례실험실학진병례중，미유마진역묘접충사자42.42%。결론전시근년래MSS운전정황정상，마진발병솔득도공제，요관주＜8월령적인동화성인마진발병정황，병제출료제고마진역묘접충솔시금후공작적중점지일。
Objective In order to improve the operation level of Measles Surveillance System (MSS), and to do a good job of measles epidemic monitoring and emergency handling work, and to provide the basic data for confirming measles elimination. Methods Descriptive analysis was conducted on the data of laboratory surveillance of MSS in 2009-2012. Results 322、485、70 and 61 Measles-like Illnesses(MLI) were reported during the period of 2009-2012 respectively, and the measles incidences(per 100000) were 2.98、4.75、0.37、0.11. 55, 52, 23 and 2 cases were confirmed through the laboratory diagnosis respectively. The collecting rate of blood serum samples of the cases was from 19.87% to 83.61%, significant differences found(P < 0.05). The report rate of the blood serum samples after being tested within 7days was from 52.94% to 94.23%, significant differences found(P < 0.05). The Laboratory diagnosis cases were confirmed sporadic measles cases. The groups aged under 3years accounted for 51.52%(68/132) in all the laboratory diagnosis cases, while the groups aged 20 years and above accounted for 32.58%(43/132). Of all 132 laboratory diagnosis cases, there were 56 cases with no measles vaccination history, which accounted for 42.42%. Conclusion MSS was running normally, and the measles morbidity was under control. More attention should be paid to the measles situations among the groups aged under 8 months and among the adults. To raise measles vaccine coverage is one of the focuses in the nearly future.
