贺旭英 马敬仓

    [摘要] 目的 分析菏泽市2015年麻疹监测与疫情特点，以期指导菏泽市麻疹监测和疫情应急处理工作，为消除麻疹工作提供基础信息。 方法 对2015年麻疹监测系统(MSS)数据进行描述分析，采用ELISA法、实时荧光RT-PCR法分别检测血清标本麻疹IgM抗体、病毒核酸，对病原学标本进行麻疹病毒分离。 结果 2015年报告麻疹疑似病例(MLI)400例，其中，麻疹236例，发病率为2.87/10万。MLI血清标本、病原学标本采集率分别为86.25%、8.75%，样本及时送达率分别为92.84%、87.50%。病原学标本中，麻疹病毒核酸检出率为65.52%，分离1株麻疹病毒，为H1a型；各县区均有麻疹发病；3岁以下年龄组病例占52.12%，≥20岁年龄组占31.36%；麻疹病例中，无麻疹疫苗接种史者100例，占42.37%。 结论 2015年菏泽市MSS运转正常，麻疹发病率仍不稳定，要重视<8月龄、成人群体的麻疹发病情况，要继续落实以提高麻疹疫苗接种率为重点的技术措施。

    [关键词] 麻疹；监测；病毒；控制；实验室

    [中图分类号] R511.1 [文献标识码] A [文章编号] 1673-7210(2016)03(c)-0096-04

    [Abstract] Objective To analyze the characteristics of measles surveillance and epidemic in Heze City in 2015， in order to guide measles surveillance and emergency handling work， and to provide the basic information for confirming measles elimination. Methods Descriptive analysis was conducted for the data of MSS in 2015. ELISA method and real-time RT-PCR were respectively used to test serum specimens for measles IgM antibody and viral nucleic acid. Measles virus isolation was conducted in the pathogenic samples. Results 400 measles-like illnesses (MLI) were reported in 2015 ......