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[目的]探讨泉州市麻疹发病的危险因素,为控制麻疹提供科学依据。[方法]采用采用1︰2病例对照研究方法。[结果]接种麻疹疫苗是保护因素,MV的保护效力为91.5%～99.9%;发病前1～3周医院就诊史和接触出疹性病人是危险因素,暴露于医院的次数越多,危险度越高,分别暴露于乡村级卫生医疗单位、县级医疗单位、市级儿童医院发病的危险度逐渐上升,市级儿童医院最高,OR=54.160(95%CI=7.219～406.317)。[结论]提高麻疹疫苗接种率,加强传染源的管理,防止医源性感染,是泉州市麻疹防控的主要措施。
[Objective] To explore the risk factors of measles in Quanzhou and to provide a scientific basis for measles control. [Method] Adopt 1: 2 case-control study method. [Results] The measles vaccine was the protective factor and the protective efficacy of MV was 91.5% -99.9%. The history of hospital visit and contact with rash patients 1-3 weeks before onset were the risk factors. The more times the hospital was exposed, the more the risk The higher the risk is, the higher the risk level is to be exposed to rural health-care units, county-level medical units, and municipal-level children’s hospitals. The highest level of municipal-level children’s hospitals is OR = 54.160 (95% CI = 7.219 to 406.317). [Conclusion] Improving measles vaccination rate, strengthening the management of infectious sources and preventing iatrogenic infection are the main measures to prevent and control measles in Quanzhou.