CAJ | 학술논문

　　目的了解周口市急性弛缓性麻痹（AFP）发病情况，探讨消灭脊灰后AFP监测工作措施。方法对周口市2006~2011年AFP病例监测资料进行流行病学分析，并对AFP病例监测系统进行评价。结果2006~2011年全市共报告AFP病例353例，未发现脊灰野病毒引起的病例。病例分布在全市10个县（区），发病以0～4岁儿童为主，占77.34%；男性发病多于女性，男女比例2.84∶l；所有监测病例经河南省专家诊断组诊断均为排除脊灰病例，格林巴利综合征最多，占36.26%。自2006年起，15岁以下儿童非脊灰AFP病例报告发病率均＞l/10万，各项主要监测指标均达到了卫生部规定的80%的要求。结论周口市AFP监测系统运转正常，系统报告敏感、及时、准确，监测报告质量不断提高，但仍有一些问题有待进一步改进。
　　목적료해주구시급성이완성마비（AFP）발병정황，탐토소멸척회후AFP감측공작조시。방법대주구시2006~2011년AFP병례감측자료진행류행병학분석，병대AFP병례감측계통진행평개。결과2006~2011년전시공보고AFP병례353례，미발현척회야병독인기적병례。병례분포재전시10개현（구），발병이0～4세인동위주，점77.34%；남성발병다우녀성，남녀비례2.84∶l；소유감측병례경하남성전가진단조진단균위배제척회병례，격림파리종합정최다，점36.26%。자2006년기，15세이하인동비척회AFP병례보고발병솔균＞l/10만，각항주요감측지표균체도료위생부규정적80%적요구。결론주구시AFP감측계통운전정상，계통보고민감、급시、준학，감측보고질량불단제고，단잉유일사문제유대진일보개진。
Objective?To understand the prevalence of acute flaccid paralysis(AFP)in Zhoukou. Explore the measures of AFP surveillance after the elimination of poliomyelitis. Methods To study the performance of monitoring system of Acute Flaccid Paralysis(AFP)in Zhoukou during 2006~2011, provide scientific evidence for improving the report quality of monitoring system. Results During2006~2011, 353 AFP cases were reported in Zhoukou City, no wild poliovirus was detected. These AFP cases were distributed in 10 countries. The age of AFP cases was mainly 0-4years old, accounting for 77.34%, higher incidence in male than in female, the rate is 2.84∶1.All AFP cases were discarded poliomyelitis cases by the diagnoses group of Henan Province. The rate of Guillan Barre syndrome (GBS)in these cases was 36.26%.The reported incidence of non—polio AFP cases of children under15 years old has been over 1/100000 since 2003.Other indexes have been above 80%.Conclusion The performance of monitoring system of AFP in Zhoukou city is well.The system reports Cases sensitively-duly and accurately.The quality of reports enhances continuously.But some problems remain to be improved further.