摘要
目的了解金华市本地人群与外来流动人口麻疹抗体水平,为制定和完善麻疹免疫策略提供科学依据。方法选取7个年龄组的630名本地人口和210名流动人口、180名18~25岁育龄期妇女、180名孕妇和90名8月龄以下儿童母亲,共1290人开展麻疹抗体水平监测,根据监测结果提出免疫策略。结果本地人群的麻疹抗体阳性率、保护率和几何平均浓度（GMC）分别为92.54%、78.73%和1774.19 mIU/ml;外来流动人口的麻疹抗体阳性率、保护率和几何平均浓度（GMC）分别为66.67%、40.95%和269.90 mIU/ml,本地人群的阳性率、保护率和GMC均明显高于外来流动人口（P〈0.01）。育龄期妇女麻疹抗体阳性率、保护率和GMC分别为93.33%、62.78%和1194.13 mIU/ml;孕妇麻疹抗体阳性率、保护率和GMC分别为94.44%、65.56%和1298.82 mIU/ml;8月龄以下未患病儿童母亲的抗体GMC明显高于患病儿童母亲（P〈0.05）,4类特殊人群的疫苗接种率和接种意识均低于50%。结论金华市本地人群麻疹免疫水平较高,4类特殊人群的麻疹疫苗接种率、接种意识和免疫水平均不高。应加强常规免疫、强化免疫、应急接种、规范接种和健康教育等。
Objective To know the measles immunity level of local people and migrant population in Jinhua City,providing a scientific basis for the strategy of measles immunization.Methods A total of 1290 people were selected to detect the measles antibody level,including 630 local people,210 migrant population,180 child-bearing women aged 18～25 years old,180 pregnant women and 90 mothers of children under 8 months.Immunization strategy would be put forward according to the surveillance results.Results The measles antibody positive rate,the protective rate and the Geometric Mean Concentration（GMC） of local population were 92.54%,78.73% and 1774.19 mIU/ml respectively,which were significantly higher than the migrant population with 66.67%,40.95% and 269.90 mIU/ml respectively（P0.01）.The antibody positive rate,the protective rate and GMC of child-bearing women were 93.33%,62.78% and 1194.13mlU/ml respectively,and the pregnant women were 94.44%,65.56% and 1298.82 mIU/ml respectively.Among the children under eight months the GMC of sick children＇s mothers was significantly lower than that of non-sick children＇s mothers（P0.05）,Both the vaccine immunization rate and vaccination consciousness of those four special groups were below 50%.Conclusion The measles immunity level was high among local people in Jinhua city.The measles immunity levels,vaccine immunization rate and vaccination consciousness among these four special groups were low.The routine immunization,the supplementary immunization,the emergency vaccination,the standard vaccination and the health education should be strengthened.
出处
《浙江预防医学》
2011年第7期8-11,共4页
Zhejiang Journal of Preventive Medicine
关键词
麻疹
不同人群
抗体监测
免疫策略
Measles
Different population
Antibody surveillance
Immunization strategy
