广西壮族自治区1996～1997年新生儿破伤风疫情分析

Analysis of Epidemic Situation of Neonatal Tetanus (NNT) in Guangxi Zhuangzu Autonomous Region Diring 1996~1997

为探讨影响新生儿破伤风发生的因素，以制定有效的防制措施，对广西壮族自治区１９９６～１９９７年新生儿破伤风疫情进行了统计分析．结果表明：１９９６、１９９７年报告新生儿破伤风确诊病例分别为７４５例和７９９例，发病率分别为１．４５‰、１．５１‰，病死率分别为１４２３％、１０．６４％。全年均有病例发生，以７～１０月发病最多，以男性为多．病例日龄以５～１４天为主，且主要在家庭出生，大多数是由非医务人员接生，多数母亲未接种破伤风类毒素．提示：经济落后、文化程度和医疗保健水平低等因素是造成新生儿破伤风发病的主要因素。

Neonatal tetanus (NNT) is one of the six diseases of EPI and rade the secondamong them. In order to search the factors which influence the occurrence of NNT, we analyzed the epidemic situation of NNT in Guangxi during 1996~1997. Results showed that in 1996and 1997, the NNT reported cases were 745 and 799, with the incidence of 1.45‰, 1.51‰ andthe mortality of 14.23‰, 10.64‰ respectively. Most cases occurred in July to October. Most- of them were male with the age from 5-14 days. They were born in home from whnoculatedmothers and delivered by Untrained midwifes. It suggest that poor education, low economicstatus and bad medical care are the major fastors that influence the occurrence of NNT.