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张振国, 宋会军, 郭玉, 张晓哗, 陈玫, 孙印旗, 张玉棋. 肠道病毒感染的急性弛缓性麻痹病例流行病学特征分析[J]. 中国公共卫生, 2001, 17(6): 529-530. DOI: 10.11847/zgggws2001-17-06-37
引用本文: 张振国, 宋会军, 郭玉, 张晓哗, 陈玫, 孙印旗, 张玉棋. 肠道病毒感染的急性弛缓性麻痹病例流行病学特征分析[J]. 中国公共卫生, 2001, 17(6): 529-530. DOI: 10.11847/zgggws2001-17-06-37
ZHANG Zhen-guo, . Epidemiological Analysis of Acute Flaccid Paralysis Cases Infected by Enterovirus[J]. Chinese Journal of Public Health, 2001, 17(6): 529-530. DOI: 10.11847/zgggws2001-17-06-37
Citation: ZHANG Zhen-guo, . Epidemiological Analysis of Acute Flaccid Paralysis Cases Infected by Enterovirus[J]. Chinese Journal of Public Health, 2001, 17(6): 529-530. DOI: 10.11847/zgggws2001-17-06-37

肠道病毒感染的急性弛缓性麻痹病例流行病学特征分析

Epidemiological Analysis of Acute Flaccid Paralysis Cases Infected by Enterovirus

  • 摘要: 目的 分析河北省1997~1999年AFP病例中肠道病毒监测结果.方法 组织培养病毒分离法.结果 河北省1997~1999年AFP病例中分离到的47株脊灰病毒,经型内特征鉴定,均为疫苗病毒;分离到NPEV80株,占AFP病例病毒分离数的63%,在明确型别的毒株中,有coxsackie A组1个型别;coxsackie B的5个型,以coxsackie B1常见,有ECHO的10个型别,ECHO15型在3个年度中都有分离.NPEV有明显的夏秋季高峰,主要发生在小年龄组人群;在年龄构成上以小年龄人群为主,5岁以下儿童的感染占77.5%,2岁以内的占56%.各种病毒感染均男性多于女性.有13.3%的coxsackie B以及22.2%的ECHO感染者还在发病后60天残留麻痹.结论 肠道病毒感染较普遍,并能引起麻痹,但与脊灰不易混淆.

     

    Abstract: Objective To analyse the results of virological surveillance from 1997 to 1999 of acute flaccid paralysis associated with non-polio enterovirus isolation in Hebei Province.Method To use method of tissue cultivation and virus isolation.Results The evaluation demonst rated that during the period of 19971999 47 strains of poliovirus were isolated,they were vaccine virus;isolation of NPEV was 80 strains acounting for 63% of AFP cases.There were coxsackie A 9、5 type of coxsackie B and 10 type of ECHO viruses in the isolation of NPEV.Analysis on the date,there existed peak from June to August in the NPEV infected.The group of under 5 years old was easily infected by NPEV occuping 77.5%,it was 56% under 2 years old.The male was easily infected.The 13.3% persons infected coxsakie B and 22.2% persons infected ECHO remained paralysis after being ill for 60 days.Conclusion The data indicated that,as a group,AFP cases with NPEV isolates are generally unlikely to be confused with poliomyelitis.

     

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