医药学论文：佛山市禅城区2005年麻疹病例流行病学分析

关键词：麻疹;流行病学研究;免疫
摘要:目的 了解佛山市禅城区麻疹流行病学特征，掌握流行规律，探讨控制策略。 方法 对2005年发生在禅城区的139例麻疹病例进行回顾性分析。 结果 2005年禅城区麻疹发病率为14.48/10万，高于2004年的发病水平，4～6月份为麻疹高发季节，0～1岁和20～30岁为麻疹高发年龄组，散居儿童、工人为高发人群，对麻疹病例免疫接种史分析表明，接种者占17.27%，未接种者占48.2%，不详占34.53%;未满8月龄38例，占27.34%。 结论 加强外来流动儿童麻疹疫苗的基础免疫与加强免疫，提高免疫覆盖率，同时考虑提前初种年龄并对大年龄组人群开展复种工作。
关键词:麻疹;流行病学研究;免疫
Epidemiological analysis of measles cases in Chancheng District of Foshan City.
Abstract:Objective To understand the prevalent characteristics of measles in Chancheng District so as to formulate effective control strategy. Methods 139measles cases in2005were retrospective analyzed. Results The results showed that the average measles incidence rate in2005was14.48per100000，higher than that of2004.The prevalent season was from April to June.The incidence of measles was high in the age group of between0～1years old and20～30years old.Measles was highly prevalent in spo-radicallly distributed children and workers，being27.34%of the cases under the age of less than eight months.17.27%of the measles cases were immunized，48.2%cases were without immunization history and34.53%were with unknown immunization histo-ry. Conclusion Basic and intensified vaccination with measles vaccine in mobile population be further strengthened.In addition，the coverage of vaccination be enhanced and the initial vaccination be ahead of the schedule time，also re-vaccination of elder age groups be considered.
Key words:Measles;Eepidemiology;Feature
麻疹是常见的呼吸道传染病，自开展儿童计划免疫以来，麻疹得到了有效控制，但近年麻疹发病情况有上升趋势，为进一步了解麻疹流行特征，探讨控制策略，做好预防控制工作，现将2005年禅城区麻疹流行情况分析如下。



2 结果
2.1 流行概况 2005年全区经麻疹监测系统共报告疑似麻疹177例，实验室确诊病例139例，排除病例38例，无临床确诊病例和临床诊断病例。发病率为14.48/10万，与2004年相比，发病例数上升157.41%（139/54），无爆发疫情，无死亡病例。