标题：许昌市2015—2019年儿童急性弛缓性麻痹病例监测结果分析

      作者：张丹，郭沙沙，赵鸣，耿少良，从克，郑惠平    许昌市疾病预防控制中心免疫规划科，河南 许昌 461000

      卷次： 2021年32卷20期

      【摘要】 目的 分析许昌市 15岁以下儿童急性弛缓性麻痹(AFP)的流行病学特征，了解AFP病例报告敏感性，评价AFP病例监测工作质量。方法 对许昌市2015—2019年15岁以下儿童AFP病例监测系统报告的AFP病例进行描述性分析。结果 许昌市2015—2019年共报告15岁以下AFP病例161例，年平均报告发病率为3.63/10万，全市AFP病例报告发病率最高为鄢陵县(4.96/10万)，其次为魏都区(4.58/10万)；春季、夏秋季1~2岁组发病率最高，以散居儿童为主，男女性别比为 1.61：1；首诊漏报率随就诊医疗机构级别的降低有所升高，首诊漏报病例集中在县、乡、村级医疗机构，漏报率之间比较差异有显著统计学意义(P<0.01)。结论 许昌市AFP病例监测系统运行良好，达到国家监测指标要求，需要提高基层病例报告敏感度以及诊疗水平，降低首诊病例漏报率。
      【关键词】 许昌市；急性弛缓性麻痹；儿童；流行病学分析；病例监测
      【中图分类号】 R729 【文献标识码】 A 【文章编号】 1003—6350（2021）20—2671—03

Analysis of surveillance results of acute flaccid paralysis in children in Xuchang from 2015 to 2019.
ZHANG Dan,GUO Sha-sha, ZHAO Ming, GENG Shao-liang, CONG Ke, ZHENG Hui-ping. Division of Immunization Planning,Xuchang Center for Disease Control and Prevention, Xuchang 461000, Henan, CHINA
【Abstract】 Objective To analyze the epidemiological characteristics of acute flaccid paralysis (AFP) in chil-dren under 15 years old in Xuchang, and understand the sensitivity of AFP case reporting and evaluate the quality of AFPcase surveillance. Methods A descriptive analysis of AFP cases reported by the AFP case surveillance system in chil-dren under 15 years old in Xuchang from 2015 to 2019 was conducted. Results From 2015 to 2019, a total of 161 AFPcases under the age of 15 were reported in Xuchang, with an average annual incidence of 3.63 per 100 000, with the high-est incidence of 4.96 per 100 000 in Yanling County, followed by 4.58 per 100 000 in Weidu District. In spring and sum-mer and autumn, the incidence of 1-2-year-old children was the highest, and the ratio of male to female was 1.61:1. Thefirst missed cases were concentrated in county, township and village level medical institutions, and there was significantdifference in the rate of missed cases (P<0.01). Conclusion The AFP case surveillance system in Xuchang is workingwell and can meet the requirements of national surveillance index. It is necessary to improve the sensitivity of primarycase reporting and the level of diagnosis and treatment, so as to reduce the rate of missing report of primary cases.
      【Key words】 Xuchang; Acute flaccid paralysis (AFP); Children; Epidemiological analysis; Case surveillance·短篇论著·doi:10.3969/j.issn.1003-6350.2021.20.023