CAJ | 학술논문

目的：统计分析某辖区手足口病定点医院三年1017例手足口病出院患者的发病年龄及流行病学季节分布，了解该病的流行病学特征，为辖区内的手足口病防控措施提供事实依据。方法以病案首页数据为基础用系统综合查询功能，以基于出院诊断陨悦阅-10编码为月08.401的病例为统计对象，对2011至2013年某医院手足口病病例的临床资料进行回顾性分析，对其流行病学特征进行探讨。结果2011至2013年共收治1017例手足口病患儿，发病年龄以1~5岁为主；男性发病率较女性高(孕<0.05)；全年均有发病，以4~10月高发。结论手足口病的发病年龄以5岁以下婴幼儿为主，男性报告病例比女性多，流行时间较集中于夏秋季，相关部门应加强防控工作，降低其发病率。病案首页蕴含丰富的信息资料，充分挖掘，可以为相关部门利用。
목적：통계분석모할구수족구병정점의원삼년1017례수족구병출원환자적발병년령급류행병학계절분포，료해해병적류행병학특정，위할구내적수족구병방공조시제공사실의거。방법이병안수혈수거위기출용계통종합사순공능，이기우출원진단운열열-10편마위월08.401적병례위통계대상，대2011지2013년모의원수족구병병례적림상자료진행회고성분석，대기류행병학특정진행탐토。결과2011지2013년공수치1017례수족구병환인，발병년령이1~5세위주；남성발병솔교녀성고(잉<0.05)；전년균유발병，이4~10월고발。결론수족구병적발병년령이5세이하영유인위주，남성보고병례비녀성다，류행시간교집중우하추계，상관부문응가강방공공작，강저기발병솔。병안수혈온함봉부적신식자료，충분알굴，가이위상관부문이용。
Objective To analyze the onset age and seasonal distribution of 1 017 discharged patients with hand-foot-mouth disease (HFMD) in a certain HFMD-designated hospital of a district within three years, and understand the epidemiologic features of HFMD, so as to provide reference for clinic. Methods Based on the data in the medical record system, we used integrated search function to search statistical objects among the cases with ICD-10 of B08.401 in discharge diagnosis. The clinical data of HFMD in a hospital from 2011 to 2013 were analyzed retrospectively to find out the epidemiologic features of HFMD. Results 1 017 patients with HFMD were found from 2011 to 2013. The onset age focused on 1~5 years old, and the morbidity of male was higher than that of female (P <0.05). HFMD had attack all year round, with high incidence from April to October. Conclusions The morbidity of HFMD focuses on children under 5 years old, female, summer and autumn. Relevant departments should strengthen the prevention and control work, so as to reduce its incidence. The homepage of medical record has a wealth of information, which should be fully used for data mining.