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张肖肖, 马雅婷, 路明霞, 王长双, 张素霞, 张延炀, 刘国华. 河南省儿童吉兰-巴雷综合征流行病学分析[J]. 中国公共卫生, 2014, 30(7): 881-883. DOI: 10.11847/zgggws2014-30-07-09
引用本文: 张肖肖, 马雅婷, 路明霞, 王长双, 张素霞, 张延炀, 刘国华. 河南省儿童吉兰-巴雷综合征流行病学分析[J]. 中国公共卫生, 2014, 30(7): 881-883. DOI: 10.11847/zgggws2014-30-07-09
ZHANG Xiao-xiao, MA Ya-ting, LU Ming-xia.et al, . Prevalence Guillain-Barre syndrome among children in Henan province[J]. Chinese Journal of Public Health, 2014, 30(7): 881-883. DOI: 10.11847/zgggws2014-30-07-09
Citation: ZHANG Xiao-xiao, MA Ya-ting, LU Ming-xia.et al, . Prevalence Guillain-Barre syndrome among children in Henan province[J]. Chinese Journal of Public Health, 2014, 30(7): 881-883. DOI: 10.11847/zgggws2014-30-07-09

河南省儿童吉兰-巴雷综合征流行病学分析

Prevalence Guillain-Barre syndrome among children in Henan province

  • 摘要: 目的 了解河南省≤15岁儿童吉兰-巴雷综合征(GBS)流行病学特征,为制定其防控策略提供科学依据。方法 对河南省2004—2012年急性弛缓性麻痹病例监测系统报告的1 291例≤15岁GBS病例进行描述性分析。结果 河南省≤15岁儿童GBS病例主要表现为散发,年平均发病率为0.75/10万,其中济源、洛阳、三门峡、濮阳、商丘发病率居前5位,分别为1.40/10万、1.09/10万、0.96/10万、0.95/10万、0.92/10万;发病高峰多出现于每年6—8月,1~4岁组发病率较高,男性发病率高于女性,男女性别比为1.85:1;186例GBS病例分离出肠道病毒,肠道病毒分离率为14.41%,26.10%的病例麻痹60 d后有残留麻痹。结论 河南省≤15岁儿童GBS病例以小年龄组为主,多发生于夏秋季,男性发病率高于女性,儿童GBS病例残留麻痹率较高,应及时采取措施降低致残率。

     

    Abstract: Objective To analyze the epidemiological characteristics of Guillain-Barre syndrome(GBS)among the children under 15 years old in Henan province and to explore measures for GBS control and prevention.Methods The individual data of 1 291 GBS cases under 15 years old from surveillance system in Henan province during 2004-2012 was analyzed descriptively.Results The cases of GBS under 15 years old were mainly sporadic in Henan province.The average incidence was 0.75/100 000.The top five regions reported higher incidence were Jiyuan,Luoyang,and Sanmenxia,Puyang,Shangqiu,with the incidence of 1.40,1.09,0.96,0.95,and 0.92 per 100 000 population.The incidence peak was during June-August and the highest incidence was observed among the children at ages of 1 to 4 years.Men had a higher incidence than women,with the gender ratio of 1.85:1.Enenterovirus was isolated from 186 cases and the isolation rate was 14.41%.The incidence rate of residual paralysis was 26.10%.Conclusion The cases of GBS were mainly young-aged and were mainly observed in summer and autumn.Men had a higher incidence than women.The incidence rate of residual paralysis among the children with GBS was higher and effective measures should be taken to improve the treatment of paralysis.

     

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