2012年广州市越秀区疑似麻疹风疹病例血清学检测结果分析

目的:对2012年广州市越秀区疑似麻疹风疹的血清学结果进行整理分析,以了解麻疹风疹病例的流行特点。方法:选取2012年1月-2012年12月的166例疑似麻疹风疹患者的血清作为研究对象,统计血清中IgM阳性抗体的检出情况,以及各年龄段、月份IgM抗体阳性的例数及构成比。结果:麻疹风疹疑似病例中有36.1%的患者检测出IgM抗体阳性,其中麻疹IgM阳性以0-1岁婴幼儿的检出率较高,可达44.4%。从月份来看,12月、8月和5月是麻疹的好发时期。风疹IgM阳性以20岁以上中老年患者检出率最高,为75.0%,7月、4月和5月是风疹的易感季节。结论:疑似麻疹风疹病例有较高的IgM抗体阳性检出率,0-1岁婴幼儿和20岁以上中老年人是麻疹风疹的易感人群,4-5、7-8和12月是发病的高峰时期,临床应注意加强防范。

Serological Analysis of Test Results of Suspected Measles and Rubellain Yuexiu District of Guangzhou in 2012

Objective： To collect and analyze the serological results of suspected measles and rubella inYuexiu District of Guangzhou in 2011 and understand the epidemic characteristics of measles and rubella. Methods： Selected of 166 cases of suspected measles and rubell aserum of patients from January 2012 to December 2012 as research subjects, counted the antibody detection of IgM masculine and the cases and constituentratio of IgM masculine in each age and month. Results： 36.1% patients of suspected measles and rubella were detected IgM masculine and there was a higher detection rate （up to 44.4%） in infants aged 0-1 years in then, December, August and May was a good fat period of measles. The highest detection rate of IgM masculine of rubella （up to 75.0%） were the middle-aged and elderly patients （〉20 years old ） and July, April and May was susceptible to rubella. Conclusion： There is a higher detection rate oflgM antibody masculine in suspected measles and rubella, 0-1 years old infants and the middle-aged and elderly patients （〉20 years old） are major groups of measles and rubella, April to May, July to August and December is the peak period of onset, should pay attention to strengthening prevention.