44例急性弛缓性麻痹病例发病及预后观察

Observation on the Onset and Prognosis of 44 Acute Flaccid Paralysis Cases

邳州市1993～1997年共报告急性弛缓性麻痹（AFP）病例44例，采集双份粪便标本的37例，占84．1％，未分离到脊髓灰质炎（脊灰）野病毒．麻痹以下肢多见，其中单下肢占40．9％．在麻痹程度上．轻度麻痹占45．4％，重度麻痹占54．6％，明显效脊灰为轻．麻痹60天后随访，有17例肌力未恢复，占总病例数的38．6％。现况调查结果显示，仍有9例肌力来恢复正常，占20．5％，其中GBS5例。本次调查发现，非脊灰AFP病例预后虽明显好于脊灰，但仍有一定比例的病例残留麻痹，值得引起关注．

Pizhou had reported 44 acute flaccid paralysis (AFP) cases from 1993 to 1997 andcollected 2 stool specimens from 37 cases (84.1%). No wild type poliovirus were detected. Most ofthe paralytic AFP cases involved with lower limbs and chiefly attacked single lower limb (40.9%).The paralysis degree were Ⅲ and Ⅳ, lighter than poliomyetitis. Through the following-up afterparalysis for 60 days, there were 17 cases (38.6%) who didn't recover their muscle strength. UP tonow, there were still 9 AFP cases (20.5%) whose muscle strength did not get recovery, of themincluding 5 Guillain-Barre Syndrom (GBS) cases. The prognosis of non- polio AFP cases was betterthan poliomyelitis, but there are still some cases having residual paralysis. It is necessary to pay attention to.