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为了解琼中县新生儿破伤风的发病情况、分析发病因素、研究在育龄妇女中开展破类免疫对消除新破的效果。对琼中县 1994～ 2 0 0 0年新生儿破伤风病例进行分析 ,结果表明 ,新生儿破伤风发病率呈逐年下降 ,由最高的1995年的 33.0 4 10 0 0个活产儿 (‰ )下降至 2 0 0 0年的 0 .5 5‰ ,全年 12个月均有病例发生 ,无季节性发病高峰、发病以出生后 2 -7天为主 ,男女发病比例接近一致 ,患儿为在家出生为主 ,多数患儿母亲未接种破伤风类毒素。琼中县1997年后在国际组织援助下加大了对育龄妇女破类免疫工作的力度 ,1997-2 0 0 0年阶段比 1994-1996年阶段新生儿破伤风发病率下降 83.2 3% ,病死率下降 9.2 0 % ,证明育龄妇女接种破类 (TT)能消除新生儿破伤风。
In order to understand the incidence of neonatal tetanus in Qiongzhong County, analyze the incidence factors and study the effect of breaking the class immunization in eliminating the new broken among the women of childbearing age. An analysis of neonatal tetanus cases in Qiongzhong County from 1994 to 2000 showed that the incidence of neonatal tetanus decreased year by year from the highest in 1995 to 33.0 4 10 0 live births (‰) To 0.55 ‰ in 2000, and all the cases occurred in 12 months of the year without any seasonal peak. The incidence was mainly from 2 to 7 days after birth, and the incidence rate of male and female was nearly the same. The children were at home Birth, most of the children were not immunized tetanus toxoid. After 1949, Qiongzhong County stepped up efforts to eliminate class immunization against women of childbearing age with the assistance of international organizations. The incidence of tetanus in newborns dropped by 83.2% in 1997-2000 than in 1994-1996, resulting in death The rate dropped by 9.2%, demonstrating that vaccination of pregnant women of childbearing age (TT) can eliminate neonatal tetanus.