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目的探讨婴儿麻疹防治新思路。方法用Excel数据库对2005年4~9月间,连续在沈阳市传染病院住院的65例1岁以内麻疹婴儿各项资料进行录入,从患儿的流行病学、临床表现、实验室检查、并发症及转归进行分析,在性别、发病地区、接种疫苗、并发症方面采用χ2检验。结果65例患儿中男婴多于女婴,农村患儿多于城市,未接种疫苗者多于接种疫苗者,有并发症者多于无并发症者,χ2检验差异具有显著性统计学意义。发现了这次流行高峰季节明显后移。结论65例患儿这次发病高峰在夏季,以农民工男婴为主,未到初次免疫接种(初免)月龄者多,流动人口漏种麻疹疫苗者多和各种并发症者多等特点,提出防治婴儿麻疹应从加强流动人口管理,提前初免,孕前再次疫苗接种,“前疫苗”的研制,以及流行期间婴儿的被动免疫等方面入手,控制该病在婴儿中的流行。
Objective To explore a new idea of infant measles prevention and control. Methods A total of 65 cases of measles infants who were admitted to Shenyang Infectious Hospital from April to September in 2005 were enrolled in this study. The data were collected from epidemiology, clinical manifestations, laboratory tests and complications Disease and outcome analysis, sex, disease area, vaccination, complications χ2 test. Results There were more male infants than female infants in 65 infants, more rural infants than in urban areas, more unvaccinated persons than vaccinated ones, and more complication cases than non-complication cases. There was a significant difference between the two groups . Found that the peak season of the popular postponed significantly. Conclusions The incidence peak of 65 cases of infants in this summer is mainly migrant workers, not reaching the age of first immunization (initial immunization), the number of migrant patients with measles immunization and many complications It is proposed that the prevention and treatment of infant measles should be controlled from the aspects of strengthening the floating population management, early immunization, re-vaccination before pregnancy, the development of “the former vaccine” and the passive immunization of infants during the epidemic.