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[目的]分析泉州市2004—2009年新生儿破伤风(NT)流行病学特征,提出控制NT的防制对策。[方法]对NT发病资料进行描述流行病学分析。[结果]1999—2009年平均发病率为0.35‰,自2003年开始,发病率明显上升,位于全省首位;分析2004—2009年调查确诊的190例个案,平均发病率>0.5‰的依次为晋江、南安、丰泽和石狮;平均发病年龄为出生后第6 d;患儿母亲均未接种过破伤风类毒素;在村卫生所或家中出生者占97.4%,178例患儿由未经培训的接生员接生;非本地户籍的患儿占90.0%。[结论]今后仍需加强组织领导;真正落实新医改政策,提高产妇住院分娩率,开展破伤风类毒素接种,对孕产妇加强健康教育等综合措施,以有效控制NT。
[Objective] To analyze the epidemiological characteristics of neonatal tetanus (NT) in Quanzhou from 2004 to 2009 and put forward the countermeasures for controlling NT. [Methods] The epidemiological analysis of NT pathogenesis data was described. [Results] The average incidence rate in 1999-2009 was 0.35 ‰. Since 2003, the incidence rate has risen sharply, ranking the first in the province. In 190 cases diagnosed in 2004-2009, the average incidence was> 0.5 ‰, followed by Jinjiang, Nanan, Fortress and lions; the average age of onset was 6 days after birth; none of the mothers in their mothers were immunized with tetanus toxoid; 97.4% were born in village clinics or at home; 178 were infants The birth attendants were trained and 90.0% were non-local residents. [Conclusion] It is still necessary to strengthen the organization and leadership in the future; implement the policy of new medical reform, improve hospitalization delivery rate of maternal, carry out tetanus toxoid inoculation and strengthen health education for maternal health, so as to effectively control NT.