CAJ | 학술논문

目的：了解湖北省黄冈市手足口病流行特征及其变化，为手足口病防控提供依据。方法：采用描述流行病方法对2008年-2012年黄冈市手足口病疫情监测资料进行分析。结果：2008年-2012年湖北省黄冈市共报告手足口病25211例，年均发病率为79.14/10万，其中重症60例，死亡6例，不同年份发病率差异有统计学意义。全市十个县市区均有不同程度流行，各县市发病率差异有统计学意义。发病主要集中在4-8月，另外大部份年份在11月份又出现一高峰。疫情流行水平呈逐年上升，发病年龄以1-3岁儿童为主，男性多于女性.病原体以EV71型为主。结论：黄冈市手足口病的发生存在明显的地区、季节、性别及年龄差异，发病逐年上升。防控方面应大力开展联防联控，流行季节重点开展散居儿童、托幼机构的疫情监测和宣教力度，做好病原学检测，防止暴发流行。
목적：료해호북성황강시수족구병류행특정급기변화，위수족구병방공제공의거。방법：채용묘술류행병방법대2008년-2012년황강시수족구병역정감측자료진행분석。결과：2008년-2012년호북성황강시공보고수족구병25211례，년균발병솔위79.14/10만，기중중증60례，사망6례，불동년빈발병솔차이유통계학의의。전시십개현시구균유불동정도류행，각현시발병솔차이유통계학의의。발병주요집중재4-8월，령외대부빈년빈재11월빈우출현일고봉。역정류행수평정축년상승，발병년령이1-3세인동위주，남성다우녀성.병원체이EV71형위주。결론：황강시수족구병적발생존재명현적지구、계절、성별급년령차이，발병축년상승。방공방면응대력개전련방련공，류행계절중점개전산거인동、탁유궤구적역정감측화선교력도，주호병원학검측，방지폭발류행。
Objective To understand the epidemiological characteristics and changes of hand foot and mouth disease(HFMD) in Huanggang city. Methods Analyze HFMD monitoring data between 2008 and 2012 with descriptive epidemiology. Results 25211 cases were reported since 2008. The annual average incidence rate is 79.14 per 100 thousands. Incluing 60 severe cases and 6 death cases. There was significant difference between different year’s incidence. HFMD is prevalent at various degrees in 10 districts and counties of Huanggang City. There was significant difference between different couonty’s incidence. The cases mainly occurred from April to August. Besides there was another peak in November of most of years. The level of epidemic situation was increasing year by year. Age mainly concentrated in the 1~3-year-old group of people and male higher than female. Pathogen was mainly of EV71. Conclusions In different areas,seasons,genders and ages, there were obvious difference about HFMD report. The prevalence was increasing year by year. About prevention and control we should strengthen district combination, epidemic surveilance, propaganda and education among scattered children and nurseries and kindergartens in epidemic season. At the same time, we also should strengthen pathogenic detection so as to prevent outbreak and prevalence.