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目的:了解龙岗区新生儿破伤风流行病学特征,为制定干预措施提供依据。方法:利用深圳市法定传染病报告系统和新生儿破伤风监测系统获得新生儿破伤风资料并进行统计分析。结果:2001～2007年龙岗区新生儿破伤风发病率呈逐年下降趋势(χ2=48.90,P<0.001);病例全部为非户籍人口;分娩方式均为院外分娩;所有病例均发生在生后2周内,其中70.5%发病在生后1周内。结论:加强流动人口孕产妇管理,普及住院分娩、新法接生和开展育龄妇女破伤风类毒素接种是预防新生儿破伤风的有效措施。
Objective: To understand the epidemiological characteristics of neonatal tetanus in Longgang district and provide the basis for the formulation of intervention measures. Methods: Neonatal tetanus data were obtained and analyzed by using the legal notifiable infectious disease reporting system and neonatal tetanus monitoring system in Shenzhen. Results: The incidence of neonatal tetanus decreased year by year in Longgang district from 2001 to 2007 (χ2 = 48.90, P <0.001). All of the cases were non-resident population. All delivery methods were hospital delivery. All cases occurred after birth During the week, 70.5% of them were diagnosed within 1 week after birth. CONCLUSIONS: Strengthening maternal management of floating population, popularizing hospital delivery, taking delivery of new law and vaccinating tetanus toxoid in women of childbearing age are effective measures to prevent neonatal tetanus.