目的：了解赤峰市松山区常规免疫接种率监测现状，促进全区免疫规划工作的平衡开展。方法对2009～2011年常规免疫接种率数据，采用差值（D）和比值（R）评价法进行分析。结果卡介苗（BCG）、口服脊髓灰质炎疫苗（OPV）、百白破混合疫苗（DPT）、麻疹疫苗（MV）、乙肝疫苗（HBV）的常规免疫报告接种率与估算接种率存在着一定的差距。采用差值（D）评价，20%的报告数据为不可信；60%的报告数据为可疑；20%的报告数据为可信。采用R=3MV/OPV的比值评价公式和判断标准，对报告接种率进行评价，2009年和2011年的数据可信，2010年的数据可疑。结论松山区的常规免疫接种率维持在较高水平，但在进行接种率评估时，3年的D值及2010年的R值的可信度均较低，说明常规免疫工作仍存在薄弱地区和薄弱环节，监测质量和规范化管理仍有待提高。但出生率及流动儿童等因素有可能使接种率评估产生误差，建议在排除出干扰因素后，及时开展接种率调查。%Objective To know current situation of inoculation in Songshan District of Chifeng, promote immune planning works carried out the balance of the whole district.Methods We analyzed the inoculation rate from 2009 to 2011 with D-value and the ratio method.Results There Were differences between the reported inoculation rate and estimated inoculation rate for BCG, OPV, DPT, MV, and HBV vaccine. By D-value method, the results showed that 20% of the report data is incredible ,60% of them is suspicious and only 20% of them is credible. By using the R appraising formula ,the results showed the date in 2009 and 2011 is credible, the date in 2010 is incredible.ConclusionThe routine immunization rates remain at high levels in Songshan District, but when assessing coverage, the D-value of the three years and the R-value In2010, the credibility is low ,show our routine immunization work is still weak areas and weak links, monitoring the quality and standardization management remains to be improved. But the birth rate andfloating children could make coverage error evaluation, muggestions after out of interference factors, uptake rates in a timely manner to out the investigation.
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