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目的分析2010年海南省新生儿破伤风(Neonatal Tetaus,NT)的流行特征,为消除NT监测与策略提供依据。方法采用描述流行病学的方法,分析2010年NT监测资料。结果 2010年海南省平均发病率0.25/1 000活产儿,发病5-9月份发病较多,病例呈散在分布,无明显集聚性。发病主要集中在海南东部地区市县,中部山区发病明显较少。男女性别比为1.7:1;病例发病中位数6d;100%在家分娩。结论提倡住院分娩,加强产妇对生育知识的健康教育是消除新生儿破伤风最有效措施。
Objective To analyze the epidemiological characteristics of neonatal tetanus (Neonatal Tetaus) in Hainan Province in 2010, and provide a basis for eliminating NT surveillance and strategies. Methods Descriptive epidemiological methods were used to analyze NT surveillance data in 2010. Results In Hainan Province in 2010, the average incidence rate was 0.25 / 1 000 live births. The incidence of morbidity in May-September was more than that in Hainan Province. The cases were scattered with no obvious agglomeration. The incidence mainly concentrated in cities and counties in the eastern part of Hainan, the central mountainous area was significantly less. The male-to-female sex ratio was 1.7: 1; the median case incidence was 6 days; and 100% was delivered at home. Conclusion Advocating hospital delivery and strengthening maternal health education on reproductive health is the most effective measure to eliminate neonatal tetanus.