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目的分析台州市2004-2010年新生儿破伤风(NT)流行病学特征,提出控制NT的策略和措施。方法对台州市2004-2010年法定传染病报告系统和NT监测系统发病资料,用Excel软件进行统计分析。结果 2004-2010年NT报告病例89例,发病率为0.18%,报告病例数最多的是温岭市;2、6和11月高发;报告病例男女性别比为1.41∶1;患儿母亲均未接种过破伤风类毒素,接受过产前检查者39.33%;患儿除1例以外均未在医院中出生,大多由未经培训的接生员接生。结论 2004-2010年台州市NT病死率无明显上升趋势。今后仍需加强NT疫情监测工作,对孕产妇加强健康教育,接种破伤风类毒素,加强基础卫生服务等综合措施,以有效地控制NT。
Objective To analyze the epidemiological characteristics of neonatal tetanus (NT) in Taizhou City from 2004 to 2010 and put forward the strategies and measures to control NT. Methods The statistical data of infectious diseases reporting system and NT surveillance system in Taizhou from 2004 to 2010 were analyzed by Excel software. Results There were 89 cases of NT reported in 2004-2010, the incidence rate was 0.18%. The highest reported cases were Wenling City. The highest incidence was found in 2,6 and 11 months. The reported male and female sex ratio was 1.41:1. Over tetanus toxoid, 39.33% of prenatal exams were accepted; none of the children was born in a hospital other than one, most of whom were delivered with untrained birth attendants. Conclusion The mortality rate of NT in Taizhou from 2004 to 2010 showed no obvious increase. In the future, there is still a need to strengthen NT surveillance of epidemics, strengthen maternal health education, tetanus toxoid inoculation, and strengthen basic health services to effectively control NT.