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目的评价广东省深圳市急性驰缓性麻痹(AFP)病例监测系统的运行情况及质量。方法通过分析监测数据、专项调查等方法评价AFP病例监测系统的简单性、数据质量、敏感性、及时性和可接受性等5项指标。结果 2009—2012年深圳市共上报AFP病例136例,14种常见AFP诊断中,多神经病、单神经炎、神经丛炎、肉毒中毒和短暂性肢体麻痹被认为不易判断;有23.5%的AFP病例个案信息不完整,主要体现在就诊情况、部分体征指标、服苗情况等信息不详;深圳市2009—2012年<15岁儿童非脊髓灰质炎AFP病例报告发病率依次为1.8/10万、2.2/10万、4.8/10万和4.6/10万;病例被诊断为AFP前就诊1、2、3和4次者分别占56.6%、30.2%、3.7%和2.9%;有93.8%的疾病预防控制人员、100.0%的医院防保科人员和94.1%的医院监测科室人员认为现行监测系统能够及时发现AFP病例。结论深圳市AFP监测系统整体运行良好,但仍需进一步完善和提高。
Objective To evaluate the operation and quality of acute flaccid paralysis (AFP) case surveillance system in Shenzhen, Guangdong Province. Methods The indicators of simplicity, data quality, sensitivity, timeliness and acceptability of AFP case monitoring system were evaluated by analyzing monitoring data and special investigation. Results A total of 136 cases of AFP were reported in Shenzhen from 2009 to 2012. Polyneuropathy, mononeuritis, plexus, botulism and transient limb paralysis were diagnosed in 14 common AFP cases. 23.5% of AFP The information of case cases is incomplete, which is mainly reflected in the information of some cases such as the medical condition, some of the signs and symptoms, and the situation of service-taking vaccine. The incidence of non-polio AFP cases in children aged <15 years in 2009-2012 in Shenzhen was 1.8 / / 100000, 4.8 / 100000 and 4.6 / 100000 respectively; 56.6%, 30.2%, 3.7% and 2.9% of the cases were diagnosed as AFP before 1, 2, 3 and 4 times; 93.8% Control staff, 100.0% of hospital anti-protection staff and 94.1% of hospital monitoring staff believe that the current monitoring system can detect AFP cases in time. Conclusion The overall AFP monitoring system in Shenzhen is in good condition, but it still needs further improvement and improvement.