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本文通过对13家综合性医院调查,我市15岁以下儿童AFP、脊髓灰质炎、非脊灰AFP的年均发病率(1/10万)分别为0.69、0.48、0.21;由于诸多因素影响,经校正后的AFP、脊灰、非脊灰AFP发病率(1/10万)则分别为4.18、2.91、1.27;其中非脊灰AFP发病率1.27/10万,接近实际1.12/10万并超过了国家1.00/10万指标。调查还提示0～3岁组儿童仍是消灭脊灰重点监测人群,AFP的构成仍以脊灰为主,占69.56％。为此,笔者提出现阶段应充分重视医院在消灭脊灰工作中的作用和“1/10万金指标”在评价地市级AFP监测系统灵敏性时应有一定的适用指征等建议。
Through the investigation of 13 general hospitals, the average annual incidence of AFP, poliomyelitis and non-polio AFP in our city is 0.69,0.48 and 0.21 respectively. Due to many factors, The corrected AFP, polio and non-polio AFP incidence (1/10 million) were 4.18,2.91,1.27 respectively; of which non-polio AFP incidence of 1.27 / 100,000, close to the actual 1.12 / 100,000 and more than The national 1.00 / 100,000 index. The survey also suggested that 0 to 3-year-old children are still poliovirus monitoring population, the composition of AFP is still mainly polio, accounting for 69.56%. To this end, I propose that at this stage should give full attention to the role of the hospital in polio eradication work and “1/10 million gold indicators” in the evaluation of the sensitivity of municipal AFP monitoring system should have some applicable indications and other recommendations.