2013—2015年无锡市锡山区麻疹疑似病例实验室检测结果分析

Serological detection results of suspected measles cases in Xishan District of Wuxi City from 2013 to 2015

目的对2013-2015年无锡市锡山区麻疹疑似病例的实验室检测结果进行分析,为有效地防治麻疹提供科学依据。方法采用酶联免疫捕获法对所采集的麻疹疑似病例血清标本进行麻疹Ig M抗体和风疹Ig M抗体检测。结果共检测167份麻疹疑似病例血清标本,麻疹Ig M抗体阳性标本71份,阳性率为42.51%;风疹Ig M抗体阳性标本9份,阳性率为5.39%。各年度麻疹Ig M抗体阳性率,各年龄组的麻疹Ig M抗体阳性率差异有统计学意义;各年度风疹Ig M抗体阳性率,不同性别麻疹Ig M抗体阳性率差异无统计学意义。3月和4月是本区麻疹高发期。结论卫生部门必须加强麻疹免疫接种和强化接种的工作力度,加强对易感人群的监控,在麻疹高发月份加强预防和监测工作,避免麻疹疫情的暴发流行。

Objective To analyze laboratory testing results of suspected measles cases in Xishan District of Wuxi City tbrm 2013 to 2015, so as to provide the evidence for effective prevention and control of measles. Methods Measles IgM antibody and rubella IgM antibody were detected in serum specimens of suspected measles cases. Results A total of 167 serum specimens of suspected measles cases were determined, andmeasles IgM positive rate was 42.51% （71/167）, while rubella IgM positive rate was 5.39% （9/167）. The differences of measles IgM positive ratesin each yearand every age group were signifieant. The differences of rubella IgM positive ratesin each year and measles IgM positive rates between genderswere not signifieant. March and April were measles season. Conclusion Health departments should strengthen measles immunization and reinforced vaccination. They also should strengthen the monitoring of susceptible population and strengthen the prevention and monitoring work to avoid the measles epidemic outbreaks.