潮州市2005～2007年麻疹疑似病例Ig-M抗体监测结果分析

Analysing results of Ig-M antibody in suspected measles in Chaozhou during 2005～2007

目的：对2005年-2007年广东潮州市麻疹疑似病例进行Ig-M抗体检测,通过结果分析麻疹、风疹流行特征,为其预防及控制提供依据及对策。方法：采用酶联免疫吸附试验（ELISA）对2005年-2007年麻疹疑似病例血清标本IgM抗体进行检测;结果用SPSS15.0统计软件进行统计分析。结果：2005-2007年共检测疑似病人血清共610份,确诊486份,阳性率79.7%,其中2005年检测100份,确诊79份,阳性率79%。2006年检测52份,确诊36份,阳性率69.2%。2007年检测458份,确诊371份,阳性率81%。高发年龄为0-1岁及〉18岁的年龄段,并且所占比例逐年增加。结论：近三年来我市麻疹病人呈明显上升趋势,特别是小于一岁及大于18岁人群麻疹病例呈逐年上升。应加强0-1岁婴幼儿麻疹疫苗的接种工作,加强对流动人口的管理,有效控制流动人口麻疹的流行。

Objective：To test Ig - M antibody of measles in Chaozhou of Guangdong during 2005 - 2007 to analyze the epidemic features and provide strategies for those prevention and control, nethods：IgM antibody was measured by ELISA in 610 cases of suspected measles between 2005 -2007. The results were analyzed by Microsoft excel software. Results：The overall positive rate of Ig- M in measles was 79.7% （486/610）. The positive ratio was 79% （79/100） in 2005, 69. 2 （36/52） in 2006 and 81% （371/458） in 2007 respectively. The incidences of 0 - 1 age group and 〉 18 age group were higher than other groups. The positive rate of measles of the two groups was significantly increasing with time. Conclusion：The positive rate of measles was significantly increasing in 2005 - 2007, especially in 0 - 1 age group and 〉 18 age group. We should be strengthened the vaccination of measles vaccine and the management of migrate worker and the routine immunization services in order to prevent and control measles.