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目的分析塔城地区北四县疑似麻疹、风疹病例血清学监测情况,为防治麻疹、风疹提供科学依据。方法采用赛润麻疹、风疹IgM抗体检测试剂操作方法,ELISA定性试验,对塔城地区北四县疑似麻疹、风疹病例血清标本进行IgM抗体检测。结果 5年共检测疑似麻疹血液标本336份,麻疹IgM抗体阳性143份,总阳性率为42.6%,疑似风疹病例血清标本154份,风疹IgM抗体阳性49份,总阳性率为31.8%。按年龄分布7岁以上麻疹麻疹、风疹阳性率为52.8%,风疹IgM抗体阳性率为39%,按按地区分布麻疹阳性率为31.2-57%风疹阳性率为12.8-55.9%。结论为控制麻疹、风疹的流行,需要提高实验室的检测准确度、但与此同时,应该加强医务人员的病例报告质量控制,另者,加强实验室间的质控是后期的工作重点。
Objective To analyze the serological surveillance of suspected measles and rubella cases in Beisi County of Tacheng Prefecture and provide scientific evidence for the prevention and treatment of measles and rubella. Methods IgM antibody was detected by Serum measles, rubella IgM antibody testing reagent and ELISA qualitative test in serum samples of suspected measles and rubella in Beisi County, Tacheng. Results A total of 336 blood samples of measles were detected during the five years. The positive rate of measles IgM was 143, the positive rate was 42.6%, the serum samples of suspected rubella were 154, and the positive rate of rubella IgM was 49. The total positive rate was 31.8%. Measles, rubella positive rate was 52.8% according to age distribution. The positive rate of rubella IgM antibody was 39%. The positive rate of measles by region was 31.2-57%. The positive rate of rubella was 12.8-55.9%. Conclusion In order to control the epidemic of measles and rubella, it is necessary to improve the accuracy of laboratory tests. At the same time, the quality control of medical staff should be strengthened. In addition, strengthening laboratory quality control is the focus of later work.