CAJ | 학술논문

目的：分析某二级综合医院6年来报告手足口病例的流行病学特征,为制定科学有效的防控措施提供依据。方法应用描述性流行学的方法对该院2008~2013年报告的5186例手足口病患者的资料进行统计分析。结果在报告的5186例手足口病例中,男女性别比为1.94：1,男性多于女性；患者年龄集中在3岁以下,占发病总数的89.51%；以散居儿童和幼托儿童为主,散居儿童高于幼托儿童；常年均有发病,以春夏季为发病高峰；以本行政区内的病例为主,占86.71%。结论手足口病存在明显的性别、年龄、季节差异,防控形势不容忽视,目前主要的防治手段是做好疫情报告及预检分诊工作,及时发现和隔离患者；医院要重视消毒隔离和手卫生工作,避免出现院内感染；积极开展健康教育工作,保护儿童健康。
목적：분석모이급종합의원6년래보고수족구병례적류행병학특정,위제정과학유효적방공조시제공의거。방법응용묘술성류행학적방법대해원2008~2013년보고적5186례수족구병환자적자료진행통계분석。결과재보고적5186례수족구병례중,남녀성별비위1.94：1,남성다우녀성；환자년령집중재3세이하,점발병총수적89.51%；이산거인동화유탁인동위주,산거인동고우유탁인동；상년균유발병,이춘하계위발병고봉；이본행정구내적병례위주,점86.71%。결론수족구병존재명현적성별、년령、계절차이,방공형세불용홀시,목전주요적방치수단시주호역정보고급예검분진공작,급시발현화격리환자；의원요중시소독격리화수위생공작,피면출현원내감염；적겁개전건강교육공작,보호인동건강。
Objective To study the epidemiological characteristics of hand-foot-and-mouth disease in a secondary general hos-pital in 6 years, so as to provide the scientific and effective prevention and control measures. Methods Descriptive method of popular science was applied to statistically analyze the data of 5186 patients with HFMD from 2008 to 2013 in the hospital. Results The sex ratio of male and female was 1. 94:1, and the male was more than the female; the percentage of patients below age 3 was 89. 51%, and most of them were scattered children and childcare children; the former was more than the later, and the HFMD had come on all the year round, spring and summer as the peaks. Most of the patients belong to the community(86. 7%). Conclusion The HFMD has sex age and season differences, and the prevention and control situation need immediate attention. At present the main means of prevention is to complete the epidemic report and preview triage work, as well as to timely detect the patients and isolate them;disinfection isolation and hand hygiene work should be em-phasized to avoid hospital infection;health education should be actively carried out to protect children’ s health.