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目的了解杭州市急性弛缓性麻痹(AFP)病例及残留麻痹流行病学特征和疾病谱。方法根据全市13个区、县(市)2001-2008年连续8年的AFP病例监测,进行系统评估。结果连续8年共有AFP病例181例,无脊髓灰质炎确诊病例,AFP病例报告发病率在1.59/10万～3.09/10万之间。181例AFP病例共残留麻痹21例,占总病例的11.60%。5岁以下16例,占残留麻痹病例的76.19%,病例以格林巴利综合征为主,共12例,占残留麻痹病例的57.14%。结论连续8年的AFP监测表明,杭州市的AFP病例监测系统处于敏感状态。AFP病例中残留麻痹以格林巴利综合征为主。
Objective To understand the epidemiology and disease spectrum of acute flaccid paralysis (AFP) and residual paralysis in Hangzhou. Methods According to the monitoring of AFP cases in 13 districts and counties (cities) from 2001 to 2008 in the city for 8 consecutive years, systematic evaluation was carried out. Results A total of 181 cases of AFP were detected in 8 consecutive years without poliomyelitis. The incidence of AFP was reported in 1.59 / 100,000 to 3.09 / 100,000. A total of 181 cases of AFP residual paralysis in 21 cases, 11.60% of the total cases. 16 cases under the age of 5, accounting for 76.19% of residual paralysis cases, the case of Guillain-Barre syndrome, a total of 12 cases, accounting for 57.14% of residual paralysis cases. Conclusion AFP monitoring for 8 consecutive years shows that the AFP case surveillance system in Hangzhou is sensitive. Residual paralysis in AFP cases with Guillain-Barre syndrome.