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目的:检测麻疹疑似病例血清中IgM抗体,分析检测结果,为麻疹的预防和临床诊断提供科学依据。方法:采集2008年我区麻疹疑似病例血清标本888份,用ELSIA法检测麻疹IgM抗体,分析检测结果。结果:888份麻疹疑似病例血清样品中检出214份阳性标本,阳性率为24.10%。麻疹病人主要集中在15~35岁年龄段,占总数的68.70%。发病主要集中在3月份到5月份,占全年发病人数的92.52%。结论:2008年我区麻疹疫情仍处于高发期,外来流行人口是造成本地区麻疹高发的主要原因,尤其是<8月龄婴儿。因此,做好外来流动人口计划免疫,加强管理,在麻疹高发前期(1~3月份)对主要年龄段的人群进行强化免疫,是降低和控制我区麻疹发病率的关键。
OBJECTIVE: To detect IgM antibodies in the serum of suspected cases of measles and analyze the test results to provide a scientific basis for the prevention and clinical diagnosis of measles. Methods: 888 serum samples from suspected cases of measles in our district were collected in 2008, and IgM antibodies against measles were detected by ELSIA, and the test results were analyzed. Results: There were 214 positive samples in 888 suspected cases of measles, the positive rate was 24.10%. Measles patients are mainly concentrated in the 15 to 35 age group, accounting for 68.70% of the total. The incidence mainly concentrated in March to May, accounting for 92.52% of the annual number of cases. Conclusion: In 2008, the outbreak of measles in our district was still at a high incidence. The outbreak of the epidemic was the main cause of the high incidence of measles in this area, especially for <8 months old infants. Therefore, it is the key to reduce and control the incidence of measles in our region to do a good job of immunization for migrant population and strengthening management in the early stage of measles (January to March) to strengthen the population of major age groups.