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目的分析辽宁省锦州市2012—2016年传染病监测系统上报急性迟缓性麻痹(AFP)病例的流行病学特征,评价锦州市AFP监测系统的运转情况,为进一步维持无脊髓灰质炎(以下简称“脊灰”)工作提供依据。方法基于中国疾病预防控制中心传染病监测系统中AFP监测系统,收集锦州市2012—2016年各地区上报的病例数,描述其流行病学特征;结合系统质量评价指标分析AFP监测质量指标的完成情况,采用Topsis法综合评价锦州市AFP监测系统运行情况。结果锦州市2012—2016年上报AFP病例26例,其中临床诊断病例24例,疑似病例2例,男女性比例为17∶9,散居儿童居多为15例;AFP上报发病率均保持在>1/10万,平均发病率为1.442/10万。按照国家要求,AFP监测系统质量指标完成情况除2016年部分指标未达标外,其他指标均达标。Topsis方法分析锦州市历年指标完成情况结果显示,2012最优,2016年最差。结论锦州市AFP监测系统敏感性符合国家要求,但各年完成情况不平均,应及时加强监督管理,力求逐年有所进步。
Objective To analyze the epidemiological characteristics of acute flaccid paralysis (AFP) reported by Infectious Disease Surveillance System in Jinzhou City, Liaoning Province from 2012 to 2016 and to evaluate the operation of AFP monitoring system in Jinzhou City. In order to further maintain poliomyelitis without poliomyelitis (hereinafter referred to as “Polio”) work to provide the basis. Methods Based on the AFP surveillance system of infectious disease surveillance system of China CDC, the number of reported cases in Jinzhou from 2012 to 2016 was collected and its epidemiological characteristics were described. The completion of AFP monitoring quality indicators was analyzed with the evaluation of system quality indicators , Using Topsis method comprehensive evaluation of Jinzhou AFP monitoring system operation. Results 26 cases of AFP cases were reported in Jinzhou City from 2012 to 2016, including 24 clinically diagnosed cases and 2 suspected cases, with a ratio of 17: 9 for males and females and 15 for scattered children. The reported incidence of AFP was maintained at> 1 / 100,000, with an average incidence of 1.442 / 100,000. In accordance with the requirements of the state, the completion of the quality indicators of the AFP monitoring system has met other indicators except some of the indicators in 2016. Topsis method analysis of Jinzhou indicators completed over the years results show that 2012 is the best 2016 worst. Conclusion The sensitivity of AFP monitoring system in Jinzhou met the national requirements. However, the completion of each year was not even. Supervision and management should be strengthened in a timely manner so as to make progress year by year.