【摘要】 目的了解麻疹实验室监测的状况,分析其监测结果,为控制麻疹流行提供依据。方法对2004~2005年从淮北市3区1县收集到的458份疑似麻疹病例的血清标本检测麻疹IgM抗体,并结合其各案调查资料进行分析。结果实验室确诊麻疹病例为274例,有如下特点:75.55%的病例发生在4~6月,82.12%的病例年龄<15岁,70.80%的病例无免疫史和免疫史不详。咳嗽、卡他性鼻炎、结膜充血这3种症状同时出现或只出现1种的,实验室确诊病例高于非确诊病例。发病4~7d后采血麻疹IgM抗体检出率高于≤3d。结论麻疹发病有年龄高移现象,但仍以儿童为主。根据麻疹现阶段流行特点,应加强实验室诊断工作。更多还原

【Abstract】 Objective In order to get information about the surveillance condition and analyze surveillance effects of laboratory for measles.Methods The serum samples of 458 cases of suspected measles were collected from Huaibei city and were tested for specific measles IgM Ab in laboratory with the analysis of single case investigation materials.Results We found that the laboratory diagnosed cases showed several features below: 75.55% cases appeared in April to June,82.12% cases were children younger than 15 years old,70.80% cases did not have measles vaccination experience or the vaccination history was unclear,1.82% diagnosed cases did not have one of the clinic phenomenon such as cough,atarrhal rhinitis,and conjunctiva bleeding.The measles IgM Ab positive rate in the period of 4 to 21 day of disease onset was higher than the period of 0 to 3 day.Conclusion The results showed that according to current condition in Huaibei city,immunation should be practiced in counties with high-risk of measles to reduce the incidence of measles,especially for children younger than 15 years old.The construction of measles surveillance network should be enhanced in order to improve the surveillance quality.更多还原