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目的:了解江苏省2009年新生儿破伤风(NT)流行病学特征及其影响因素,预测发病趋势,探讨预防策略和措施。方法:对监测系统NT数据进行流行病学分析。结果:江苏省2009年共报告NT 26例,发病率为0.0339/1000活产儿。有8个省辖市报告了NT病例,主要集中在苏州(34.62%),镇江(15.38%)和徐州(15.38%)3市;苏州、镇江、常州和无锡苏南4市报告的病例中83.33%为流动人口,而徐州、宿迁、扬州和连云港苏北4市报告病例中75.00%为本地人群;全年均有发病,7~9月多发;新生儿发病日龄中位数为8.73 d,主要是2~10 d;男婴多于女婴,性别比为1.6∶1;80.71%的病例是由未经培训的人员家中接生;患儿母亲未接种过破伤风疫苗免疫或免疫史不详者占92.31%。结论:必须根据当前实际情况,有针对性地加强宣传教育工作,同时注意落实有关措施时的联防联动,以达到消除NT的目的。
Objective: To understand the epidemiological characteristics of neonatal tetanus (NT) in Jiangsu Province in 2009 and its influential factors, to predict the trend of onset and to explore preventive strategies and measures. Methods: The epidemiological analysis of surveillance system NT data. Results: A total of 26 NT cases were reported in Jiangsu Province in 2009 with a prevalence of 0.0339 / 1000 live births. There are 8 provincial cities reported NT cases, mainly in Suzhou (34.62%), Zhenjiang (15.38%) and Xuzhou (15.38%) 3 cities; Suzhou, Zhenjiang, Changzhou and Wuxi Sunan four reported cases of 83.33 % Were floating population, while 75.00% of the reported cases in Xuzhou, Suqian, Yangzhou and Lianyungang 4 cities in North China were local population; the incidence rate was all year round, with multiple in July to September; the median age of newborns was 8.73 days, Mainly from 2 to 10 days; more boys than girls, with a sex ratio of 1.6: 1; 80.71% of cases were delivered by untrained persons at home; children whose mothers had not been immunized with tetanus or had unknown history of immunization Accounting for 92.31%. Conclusion: It is imperative to strengthen publicity and education in a targeted manner according to the current actual conditions, and at the same time pay attention to the syndication and defense in the implementation of the relevant measures in order to achieve the goal of eliminating NT.