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我国1996年急性弛缓性麻痹(AFP)病例监测工作进展显著,以省为单位各项监测指标已接近或达到了世界卫生组织(WHO)所提出的质量要求。我国1996年未发现本土脊髓灰质炎(脊灰)野病毒病例,仅在云南省与缅甸接壤地带发现3例输入性脊灰野病毒病例(Ⅰ型1例,Ⅲ型2例)。全国仍有554个县(区、市、旗,下同)连续4年未报告AFP病例,占全国县数的194%,主要分布于我国的东北、西北和西南地区。1993年以来,我国AFP病例主要分布于小年龄组,其中以脊灰和非脊灰肠道病毒感染病例尤为显著,5岁以下病例数分别占872%和861%。脊灰与脊灰排除病例的“零剂次”服苗率分别为424%和171%,≥3次服苗率分别为286%和635%,两者差异显著。我国AFP病例均以肢体麻痹为主,脊灰和非脊灰AFP病例肢体麻痹者分别占970%和989%,且均以下肢麻痹为主,其中脊灰病例的残留麻痹率为76%,显著的高于其他AFP病例。
The monitoring of acute flaccid paralysis (AFP) cases in 1996 in our country has made remarkable progress. The provincial monitoring indicators have approached or reached the quality requirements set by the World Health Organization (WHO). In 1996, no cases of native poliovirus (polio) wild virus were found in our country. Only three cases of imported wild poliovirus were found in the border area between Yunnan and Myanmar (Ⅰ in 1 case and Ⅱ in 2 cases). There are still 554 counties (districts, cities, banners, the same below) reporting no cases of AFP for 4 consecutive years, accounting for 194% of the total number of counties in the country. They are mainly distributed in the northeast, northwest and southwest of China. Since 1993, AFP cases in our country are mainly distributed in the small age group. Among them, the cases of poliovirus infection with poliovirus and non-poliovirus are particularly notable, accounting for 872% and 861% of patients under 5 years old respectively. Polio vaccine and poliovirus cases were 42.0% and 17.1% respectively, and the rate of ≥3 times service was 286% and 635% respectively, the difference was significant . The majority of AFP cases in our country were mainly paralyzed by limbs, 970% and 989% in poliovirus and non-poliovirus AFP cases, respectively, and were mostly paralyzed by lower limbs. The residual paralysis rate of poliovirus cases was 76%, significantly higher than other AFP cases.