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本文对菏泽地区1997年急性弛缓性麻痹进行监测报告和分析。菏泽地区1997年共报告AFP急性弛缓性麻痹33例,无脊灰临床符合病例和脊灰确诊病例;33例AFP分布于全区的县市,呈散发;15岁以下儿童非脊灰AFP报告发病率为1.375/10万;AFP病例48小时内调查率为93.94％,14天内合格粪便标本采集率为75.76％,从AFP病例及接触者粪便标本中从未分离出脊灰病毒,而分离出cox、ECHO人体内肠道细胞病变病毒等其它肠道病毒,AFP标本其它肠道病毒分离阳性率为31.25％;引起AFP的原因是多种的。我区AFP监测及消灭脊灰工作取得了很大进度,但仍有不足之处,如就诊48小时及时报告完成率,双份合格粪便标本采集率等仍较低。建议仍应加强AFP监测和诊断,消灭脊灰工作仍需努力。
This article Heze area in 1997 acute flaccid paralysis monitoring report and analysis. In Heze area, a total of 33 cases of acute flaccid paralysis of AFP were reported in 1997 in Heze area. Polio-free cases were found to be consistent with confirmed cases of poliovirus and 33 cases of AFP were distributed in counties and cities in the region. Rate of 1.375 / 100000; AFP cases within 48 hours, the investigation rate was 93.94%, within 14 days of qualified stool specimens collected rate of 75.76% from the AFP cases and contact stool specimens never isolated polio virus, and isolated cox , ECHO human intestinal cytopathic virus and other enterovirus, AFP specimens of other enterovirus isolates positive rate was 31.25%; cause AFP for a variety of reasons. The AFP monitoring and polio eradication work in our area has made great progress. However, there are still some shortcomings. For instance, the prompt completion rate of 48 hours for treatment visits and the collection rate of double qualified stool specimens are still low. It is suggested that AFP monitoring and diagnosis should still be strengthened and polio eradication efforts still need to be worked out.