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关于流感免疫预防人群选择的流行病学研究。

Epidemiological studies concerning choice of population for immunoprophylaxis of influenza.

作者信息

Niculescu I T, Zilisteanu E, Cretescu L, Crainic R, Oprescu E, Matepiuc M

出版信息

Postgrad Med J. 1976 Jun;52(608):405-8. doi: 10.1136/pgmj.52.608.405.

Abstract

Epidemiological studies in naturally infected persons have shown that there is a significant relation between antibody levels to the current circulating virus and morbidity. Serological findings and morbidity data suggest: (1) that the serological survey is a more sensitive indicator for influenza outbreaks than is the clinical diagnosis and (2) that the 5-14 age group is first affected when an epidemic of influenza starts off. Consequently, school children may be the major source of influenza into family units and, therefore, among older segments of the population. Exploring the relationships between influenza morbidity and natality, as well as influenza morbidity and mortality under 1 year of age, values of <0·001 (Student's -test) were obtained. The linear regression analysis showed that both relationships were represented as straight lines. From the results it seems logical to utilize the available vaccine for the protection of infants, school children and pregnant women. The vaccine-induced protection can offer significant, although not total, protection of the whole population and prevent obstetrical accidents.

摘要

对自然感染人群的流行病学研究表明,针对当前流行病毒的抗体水平与发病率之间存在显著关联。血清学研究结果和发病率数据表明:(1)血清学调查对于流感暴发而言是比临床诊断更为敏感的指标;(2)流感流行开始时,5 - 14岁年龄组首当其冲受到影响。因此,学龄儿童可能是流感传入家庭单位进而传入老年人群体的主要源头。探索流感发病率与出生率之间的关系,以及1岁以下婴儿的流感发病率与死亡率之间的关系,得到了<0·001(学生氏t检验)的值。线性回归分析表明,这两种关系均呈现为直线。从结果来看,利用现有的疫苗来保护婴儿、学龄儿童和孕妇似乎是合理的。疫苗诱导产生的保护作用虽不能提供全面保护,但能为整个人口提供显著保护,并预防产科意外。

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本文引用的文献

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