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为实现消灭脊髓灰质炎(脊灰)的目标,湖南省急性弛缓性麻痹(AFP)病例监测系统的监测质量在不断提高。1996年15岁以下儿童AFP病例报告发病率为114/10万;AFP病例麻痹发生后2天内就诊的占AFP病例总数的638%,1周和2周内就诊的各占930%和985%;病例就诊后48小时内报告的只占397%,1周和2周内报告的各占811%和905%;接到病例报告后48小时内调查的占985%;AFP病例发生麻痹后1周内采集粪便标本的占603%,2周内采集粪便的占834%。由此可见,我省今后AFP病例监测工作的重点应是提高AFP病例的就诊率和报告的及时性。
In order to achieve the goal of eradicating poliomyelitis (polio), the monitoring quality of the acute flaccid paralysis (AFP) case monitoring system in Hunan Province is constantly improving. The incidence of AFP cases in children under 15 years of age in 1996 was 1 14 per 100 000. AFP cases were seen within two days of paralysis accounting for 63 8% of the total number of AFP cases, 93 cases in 1 week and 2 weeks. 0% and 985% respectively. Only 397% of patients reported within 48 hours after treatment and 811% and 905% within 1 week and 2 weeks respectively. 48 hours after receiving the case report Accounting for 98 5% within the survey; AFP cases paralyzed within 1 week after collecting fecal specimens accounted for 60 3%, 2 weeks to collect faeces accounted for 83 4%. Thus, the future focus of AFP case surveillance in our province should be to improve the AFP case attendance and timely reporting.