CAJ | 학술논문

目的?了解昭通市20年来急性弛缓性麻痹(AFP)监测情况,发现问题,改进工作方法,为保持该市无脊灰工作提供理论依据.方法?对昭通市11县区AFP主动监测相关资料以及脊灰实验室监测结果等进行统计分析.结果?共报告病例740例,报告发病率除1993、1994年外均达到1/10万以上;无免疫史和免疫史不详的分别占11.89%和12.3%;报告疫苗相关病例29例,占3.92%;合格标本采集率、标本及时送达率、病例及时随访率未达到敏感指标的年份分别占30%、30%、50%.结论?该市AFP监测不能保持高度敏感性,主要是部门间的协调和工作人员思想麻痹.疫苗免疫存在空白人群,流动儿童免疫仍然是工作的重点.对疫苗相关病例的控制不能忽视.
목적?료해소통시20년래급성이완성마비(AFP)감측정황,발현문제,개진공작방법,위보지해시무척회공작제공이론의거.방법?대소통시11현구AFP주동감측상관자료이급척회실험실감측결과등진행통계분석.결과?공보고병례740례,보고발병솔제1993、1994년외균체도1/10만이상;무면역사화면역사불상적분별점11.89%화12.3%;보고역묘상관병례29례,점3.92%;합격표본채집솔、표본급시송체솔、병례급시수방솔미체도민감지표적년빈분별점30%、30%、50%.결론?해시AFP감측불능보지고도민감성,주요시부문간적협조화공작인원사상마비.역묘면역존재공백인군,류동인동면역잉연시공작적중점.대역묘상관병례적공제불능홀시.
Objective Learning about the surveillance of Acute Flaccid Paralysis (AFP) in Zhao tong City in the past 20 years to identify problems, improve working methods and provide a theoretical basis to keep the citizens polio-free. Methods Analyzing statistically the results of surveillance in the polio laboratory and active surveillance in 11 counties and districts of Zhao tong city. Result 740 cases reported;reported incidence over 1/100 000 except 1993, 1994;the not-immunized and the unknown respectively accounting for 11.89%and 12.3%;29 vaccine-related cases reported, accounting for 3.92%;years of failing reaching the sensitive rate of qualified specimens collection, specimens’ timely delivery, and cases’ timely follow-up respectively accounted for 30%, 30% and 50%. Conclusion AFP surveillance fails maintaining a high degree of sensitivity, mainly ascribed to the poor inter-departmental coordination and the crew’s stupefied and mechanical quality. There exist an amount of not immunized people. Transient children remains as the major issue. The control of vaccine-related cases should be paid more attentions on.