国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2012, Vol. 31 ›› Issue (3): 195-196.

• 论著 • 上一篇    下一篇

镇江市流动儿童新生儿破伤风监测分析

颜卫丰, 赵亚娟   

  1. 212003 江苏省镇江市疾病预防控制中心（颜卫丰）；江苏省镇江市妇幼保健院（赵亚娟）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-05-15 发布日期:2012-05-15

Monitoring and Analysis of Neonatal Tetanus of Migrant Children in Zhenjiang City

YAN Wei-feng，ZHAO Ya-juan   

  1. The Centers for Disease Control and Prevention in Zhenjiang City of Jiangsu，Zhenjiang 212003， Jiangsu Province, China（YAN Wei-feng）；The Maternity and Child Care Centers in Zhenjiang City of Jiangsu Province，Zhenjiang 212003， Jiangsu Province, China（ZHAO Ya-juan）
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-05-15 Online:2012-05-15

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摘要： 目的：分析镇江市流动儿童新生儿破伤风（NNT）的流行病学特征，为消除NNT提供科学依据。方法：利用描述流行病学方法分析镇江市2003—2010年流动儿童NNT监测资料。结果：镇江市2003—2010年NNT年平均总发病率为0.17‰，其中流动儿童NNT发病率为1.36‰，病死率为32.14%；NNT发病率总体呈下降趋势，但2006年出现一个相对高峰期；病例散在分布，无明显地区聚集性，患儿主要来自于四川、云南和贵州；男女性别比为1.55∶1，在家分娩者占89.29%；母亲均无破伤风类毒素（TT）接种史。结论：镇江市流动儿童NNT为散在发病，病死率高。提高流动妇女住院分娩率与提倡TT接种，才能彻底消除非高危地区NNT疫情。

关键词: 婴儿, 新生, 破伤风, 破伤风类毒素, 环境监测, 发病率

Abstract: Objective： Analyzing the epidemic characteristics of tetanus（NNT） of recurrent children in Zhenjiang, so as to provide the scientific basis of eliminating NNT. Methods：NNT monitoring data of the recurrent children in Zhenjiang during 2003—2010 was analyzed using the descriptive epidemiology. Results：The average incidence of NNT in Zhenjiang during 2003—2010 was 0.17 per 1 000 live births in children with a relative peak appearance in 2006, while the incidence of migrant children was 1.36 per 1000 and the mortality of NNT children was 32.14 per 1000. NNT cases were scattered. Those children were mainly from Sichuan，Yunnan and Guizhou Provinces. The ratio of male to female was 1.55∶1. The childbirth in home in those NNT cases was 86.36%. All of mothers were not inoculated against tentanus（TT）. Conclusions：NNT in the migrant children are scattered in Zhenjiang, and NNT mortality is high. It is possible to eliminate NNT in non-high risk areas by improving the rate of hospital delivery and advocating TT vaccination in migrant women.

Key words: Infant, newborn, Tetanus, Tetanus toxoid, Environmental monitoring, Incidence