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目的为做好麻疹监测工作,评价疫苗可预防疾病的免疫水平、为预测疾病流行、制定和调整疫苗可预防疾病的防控策略提供依据,同时了解安定区麻疹、风疹抗体水平。方法基于社区健康人群和医院就诊人群按照比例容量法和便利抽样方法,开展不同人群麻疹、风疹抗体水平调查,使用Epi Date软件对资料进行统计分析。结果安定区人群麻疹抗体总阳性率为87.51%,风疹抗体总阳性率为79.48%,二者在社区健康人群高于医院就诊人群,城镇社区高于农村,社区医院及乡镇卫生院高于城市综合医院。结论安定区麻疹疫苗的免疫成功率仍不够高。提示今后要进一步加强流动儿童免疫规划的管理,消除免疫空白人群;加强村级免疫规划的规范化培训,提高接种质量;全面加强免疫规划工作的精细化管理,进一步提高免疫成功率;加强医院麻疹感染控制,严防麻疹暴发。
The purpose is to do a good job in monitoring measles, evaluate the immunization level of the vaccine-preventable diseases, provide a basis for forecasting the epidemic, formulating and adjusting prevention and control strategies for vaccine-preventable diseases, and understand the level of measles and rubella antibodies in the Anding area. Methods Based on the proportionate volume method and convenience sampling method, healthy population and hospitalized patients in the community were surveyed for measles and rubella antibody levels in different populations, and the data were statistically analyzed with Epi Date software. Results The total positive rate of measles antibody in stable population was 87.51% and the total positive rate of rubella antibody was 79.48%. Both of them were higher in the community than in the hospital, the urban community was higher than the rural community, the community hospital and township hospitals were higher than the city hospital. Conclusion The immune success rate of measles vaccine in Anding District is still not high enough. Prompted the future to further strengthen the management of migrant children immunization program to eliminate blank immunization; to strengthen the standardization of village-level immunization program training to improve the quality of vaccination; comprehensively strengthen the intensive management of immunization planning to further improve the success rate of immunization; to strengthen the hospital measles infection Control, prevent measles outbreak.