CAJ | 학술논문

目的：分析疫情的特征及相关危险因素，为消除麻疹提供科学依据。方法对病例进行调查核实，采集血清和咽试纸样品进行实验室确诊，结合历史流行情况、人群免疫状况、人口流动情况、疫情规范处置、医院感染等综合分析暴发原因。结果疫情具有从病例输入到引起暴发时间长、疫点较多但点内病例不多、传播轨迹清晰、发病年龄向小于8个月和成年人两端扩展、有免疫史记录的病例较多等特征；疫情固有的周期性、易感人群的积累、疫点处置不彻底、医源性感染是暴发主要原因。结论提高麻疹疫苗接种率和规范处置疫情是预防暴发的根本措施。
목적：분석역정적특정급상관위험인소，위소제마진제공과학의거。방법대병례진행조사핵실，채집혈청화인시지양품진행실험실학진，결합역사류행정황、인군면역상황、인구류동정황、역정규범처치、의원감염등종합분석폭발원인。결과역정구유종병례수입도인기폭발시간장、역점교다단점내병례불다、전파궤적청석、발병년령향소우8개월화성년인량단확전、유면역사기록적병례교다등특정；역정고유적주기성、역감인군적적루、역점처치불철저、의원성감염시폭발주요원인。결론제고마진역묘접충솔화규범처치역정시예방폭발적근본조시。
Objective To analyze the epidemic characteristics and risk factors, toprovide scientific basis for measles elimination. Methods To carry out investigation to verify the case, collect serum and throat swab samples were laboratory confirmed, with the comprehensive analysis of the historical prevalence, immune status, population flow, epidemic, regulate the disposal of hospital in-fection outbreak reason. Results The epidemic has from the case input to cause the outbreak epidemic time long, but more points within a case not much, propagation path clear, age of onset, extended to both ends of less than 8 months and adults immunized history cases recorded more characteristics; epidemic inherent periodicity, easy to accumulate, epidemic disposal moving group is not thorough, iatrogenic infection is the main cause of the outbreak. Conclusion To improve the measles vaccination rate and regu-late the disposal is a fundamental measure to prevent the outbreak of epidemic.