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为了探讨影响广东省新生儿破伤风 (NNT)发生的因素 ,对广东省NNT疫情及其影响因素进行了分析。 1996～ 1999年广东省NNT报告发病率分别为 1 0 7/10 0 0活产儿 (‰ )、1 0 7‰、0 94‰和 0 77‰ ,呈逐年下降的趋势。1996～ 1999年报告NNT死亡数均居各种法定报告传染病之首。病例主要分布在粤西和粤北地区。发病季节高峰不明显。男婴远多于女婴。患儿母亲接种破伤风类毒素 (TT)的只占 0 79%。产妇住院分娩的只占 5 0 % ,在家分娩的占 91 5 8% ,由未经培训人员接生的占 83 0 5 %。因此 ,提高住院分娩率 ,普及消毒接生 ,对NNT高危县育龄期妇女接种TT和加强NNT监测 ,应是广东省消除NNT的主要措施。
In order to investigate the factors affecting the occurrence of neonatal tetanus (NNT) in Guangdong Province, the epidemic situation of NNT in Guangdong Province and its influencing factors were analyzed. The incidence of NNT in Guangdong Province from 1996 to 1999 were respectively 107%, 107%, 094% and 077%, respectively, showing a declining trend year by year. The number of deaths from NNT reported in 1996 to 1999 topped the list of various statutory reported communicable diseases. Cases are mainly located in western Guangdong and northern Guangdong. Peak season is not obvious. More baby boys than baby girls. Only 0 79% of mothers with tetanus toxoid (TT) were vaccinated. Maternal hospital deliveries accounted for only 50%, births delivered 91 58%, and untrained births 83 05%. Therefore, increasing hospital delivery rate, popularizing disinfection and birth, vaccinating women of childbearing age at high risk in NNT with TT and strengthening NNT monitoring should be the main measures to eliminate NNT in Guangdong.