中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
33期
97-99
,共3页
丁梅%马敬仓%刘国庆%杨传欣
丁梅%馬敬倉%劉國慶%楊傳訢
정매%마경창%류국경%양전흔
手足口病%重症%肠道病毒71型%柯萨奇病毒A型%分析
手足口病%重癥%腸道病毒71型%柯薩奇病毒A型%分析
수족구병%중증%장도병독71형%가살기병독A형%분석
Hand-foot-mouth disease%Severe cases%EV71%Cox A16%Analysis
目的：了解2010-2012年菏泽市手足口病（Hand-foot-mouth disease，HFMD）流行的时间、区域和人群分布以及病原构成。方法：利用中国疾病预防控制信息管理系统汇总全市2010-2012年HFMD病例，对其流行病学特征进行分析。结果：2010-2012年菏泽市报告手足口病例分别为10132例、8148例和3596例，重症数662例、379例、83例，实验室诊断数410例、369例和172例，发病率为116.7806/10万，98.3144/10万和42.7854/10万，无死亡病例。牡丹区、定陶县和曹县报告HFMD病例数较多，三县区合计报告9490例，占到全市的43.37%。报告病例年龄最小1个月，最大52岁，其中0~4岁者20126例，占92.01%。HFMD病例中，以农村散居儿童为主，占全部病例数的96.51%。各类标本中共有967份检出病毒类型，其中肠道病毒71型（EV71）、柯萨奇病毒A16型（CoxA 16）、其他肠道病毒检测构成比分别为61.43%、22.96%、15.62%。结论：2010-2012年菏泽市手足口病流行强度趋于减弱，不同县区流行强度不同季节分布存在差异，4岁以下儿童是发病主要人群，EV71和柯萨奇病毒A16型为主要病原。
目的：瞭解2010-2012年菏澤市手足口病（Hand-foot-mouth disease，HFMD）流行的時間、區域和人群分佈以及病原構成。方法：利用中國疾病預防控製信息管理繫統彙總全市2010-2012年HFMD病例，對其流行病學特徵進行分析。結果：2010-2012年菏澤市報告手足口病例分彆為10132例、8148例和3596例，重癥數662例、379例、83例，實驗室診斷數410例、369例和172例，髮病率為116.7806/10萬，98.3144/10萬和42.7854/10萬，無死亡病例。牡丹區、定陶縣和曹縣報告HFMD病例數較多，三縣區閤計報告9490例，佔到全市的43.37%。報告病例年齡最小1箇月，最大52歲，其中0~4歲者20126例，佔92.01%。HFMD病例中，以農村散居兒童為主，佔全部病例數的96.51%。各類標本中共有967份檢齣病毒類型，其中腸道病毒71型（EV71）、柯薩奇病毒A16型（CoxA 16）、其他腸道病毒檢測構成比分彆為61.43%、22.96%、15.62%。結論：2010-2012年菏澤市手足口病流行彊度趨于減弱，不同縣區流行彊度不同季節分佈存在差異，4歲以下兒童是髮病主要人群，EV71和柯薩奇病毒A16型為主要病原。
목적：료해2010-2012년하택시수족구병（Hand-foot-mouth disease，HFMD）류행적시간、구역화인군분포이급병원구성。방법：이용중국질병예방공제신식관리계통회총전시2010-2012년HFMD병례，대기류행병학특정진행분석。결과：2010-2012년하택시보고수족구병례분별위10132례、8148례화3596례，중증수662례、379례、83례，실험실진단수410례、369례화172례，발병솔위116.7806/10만，98.3144/10만화42.7854/10만，무사망병례。모단구、정도현화조현보고HFMD병례수교다，삼현구합계보고9490례，점도전시적43.37%。보고병례년령최소1개월，최대52세，기중0~4세자20126례，점92.01%。HFMD병례중，이농촌산거인동위주，점전부병례수적96.51%。각류표본중공유967빈검출병독류형，기중장도병독71형（EV71）、가살기병독A16형（CoxA 16）、기타장도병독검측구성비분별위61.43%、22.96%、15.62%。결론：2010-2012년하택시수족구병류행강도추우감약，불동현구류행강도불동계절분포존재차이，4세이하인동시발병주요인군，EV71화가살기병독A16형위주요병원。
Objective:To understand the popular at the time, area and population distribution and pathogen of hand foot mouth disease (Hand-foot-mouth disease,HFMD)in Heze city from 2010 to 2012.Method:The epidemiological data of HFMD from the China Information System for Diseases Control and Prevention were analyzed During the period of 2010-2012.Result:There were 10 132,8148 and 3596 cases reported HFMD cases from 2010 to 2012 in Heze city,of which 662,379 and 83 cases were severed,and 410,369 and 172 were lab confirmed respectively.The morbidity (per 100 000)were 116.7806,98.3144 and 42.7854 respectively.There were 9490 cases reported in Mudan District,Dingtao County and Cao County with the cases accounting for 43.37% of the city.The HFMD cases,aged from 1 month to 52 years old,were concentrated mainly in the children under 4 years, and accounted for 92.01% of the total cases.In HFMD cases,rural children accounted for 96.51% of the total cases.Various specimens detected,there were 967 cases of virus type,and the detection of EV71,Cox A16,other enteric viruses were 61.43%,22.96%,15.62%.Conclusion:The HFMD epidemics trend is decreasing during 2010-2012.Both significant differences on the epidemics of HFMD in areas and seasons are found.Children under 4 years are the major population groups at risk of HFMD.EV71 and Cox A16 are both the major etiologic agents of HFMD.
