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本文对菏泽地区1998年急性弛缓性麻痹(AFP)监测进行了报告和分析。菏泽地区1998年共报告AFP42例,无脊灰确诊病例,有1例脊灰临床符合病例,有5例临床脊灰(高度怀疑疫苗相关病例);42例AFP分布于全区的9县市,呈散发;15岁以下儿童非脊灰AFP报告发病率为1.542/10万;AFP病例48小时内调查率为94.7％,14天内合格粪便标本采集率为82.3％;从AFP病例及接触者粪便标本中从未分离出脊质野病毒,而分离出脊疫苗病毒和COX、ECHO等其它肠道病毒,AFP标本脊灰疫苗病毒和其它肠道病毒阳性率均为15.79％;引起AFP的原因是多种的。我区AFP监测及消灭脊灰工作得了很大进展,但有不足之外,如就诊48小时内及时报告完成率等仍较低。建议仍应加强AFP监测和诊断,消灭脊灰工作仍需努力。
In this paper, Heze area in 1998 acute flaccid paralysis (AFP) monitoring were reported and analyzed. Heze area in 1998 reported a total of 42 cases of AFP, polio-free confirmed cases, 1 case of clinical evidence of polio, 5 cases of clinical polio (highly suspected vaccine-related cases); 42 cases of AFP distribution in the region’s 9 counties, The incidence of non-polio AFP in children under 15 years old was 1.542 / 100 000. The investigation rate of AFP cases was 94.7% in 48 hours and 82.3% in 14 days. From AFP cases and contact stool samples , And no other enterovirus such as COX, ECHO and other enterovirus were isolated, and the positive rates of AFP, poliovirus and other enterovirus were both 15.79%. The reason of AFP was more Kind of The AFP monitoring and polio eradication efforts in our area have made great progress. However, there are still some shortcomings. For instance, the timely completion rate within 48 hours of treatment is still low. It is suggested that AFP monitoring and diagnosis should still be strengthened and polio eradication efforts still need to be worked out.