河北省2009年残留麻痹的急性弛缓性麻痹病例疾病谱监测分析

Analysis on the Prevalence of Acute Flaccid Paralysis Patients with Residual Paralysis in Hebei Province in 2009

目的对河北省2009年非脊髓灰质炎(脊灰)急性弛缓性麻痹(AFP)病例中残留麻痹病例的疾病谱进行分析。方法对2009年河北省AFP监测系统监测资料采用EPI-info和SPSS软件进行统计分析。结果河北省2009年非脊灰AFP病例疾病谱的顺位为格林巴利综合征(GBS)、非脊灰肠道病毒(NPEV)感染、脊髓炎、偏瘫和单瘫、神经根炎、周围神经损伤、脑瘤、手足口合并症、皮肌炎等。发病年龄以0～4岁为主,男性多于女性;在7、8月份发病较多;临床表现以下肢麻痹、腱反射减弱或消失为主。结论进一步掌握河北省导致AFP病例残留麻痹的主要因素,采取有效措施防治残留麻痹的AFP病例。

Objective To analyze the disease chart of non- polio acute flaccid paralysis （AFP） cases with residual paralysis in Hebei Province in 2009. Methods The monitoring data collected from Hebei Provincial AFP Surveillance System in 2009 were statistically analyzed with EPI - info and SPSS software. Results The disease spectrums of AFP patients with residual paralysis were Guillain- Barre syndrome （GBS）, non- polio enterovirus infection, myelitis, hemiplegia and monoplegia, radiculitis, peripheral nerve injury, cerehroma, hand - foot - mouth complications, dermatomyositis, etc. The age of onset of ill- ness mainly focused on 0--4 years, male patients were more than female ones. July and August were the high incidence period. The main clinical manifestations were crural paralysis and diminution or loss of tendon reflexes. Conclusions It is necessary to further investigate the main factors resulted in AFP cases with residual paralysis in Hebei Province so as to take the effective measures for prevention and control of the cases with residual paralysis.