CAJ | 학술논문

目的探讨山东省临沂地区手足口病的流行病学及临床特征,为制定本地区疾病防治措施提供依据.方法制定手足口病观察项目表,采集2012年4-9月山东省临沂地区1426例手足口病患者的流行病学及临床特征,采用描述流行病学方法进行分析.结果临沂地区手足口病发病高峰为5月,以3岁以下散居及幼托儿童为主,发病率男童多于女童,农村高于城镇.临床表现主要包括发热、皮疹等,重症患儿可发生多系统并发症.辅助检查可见白细胞及中性粒细胞比值增高等特征.EV71为重症病例的主要病原,占重症病例的77.21％.结论山东省临沂地区手足口病流行具有明显季节性、人群性及地区性.针对本地区流行病特点,制定区域特异性防治措施至关重要.
목적 탐토산동성림기지구수족구병적류행병학급림상특정,위제정본지구질병방치조시제공의거.방법 제정수족구병관찰항목표,채집2012년4-9월산동성림기지구1426례수족구병환자적류행병학급림상특정,채용묘술류행병학방법진행분석.결과 림기지구수족구병발병고봉위5월,이3세이하산거급유탁인동위주,발병솔남동다우녀동,농촌고우성진.림상표현주요포괄발열、피진등,중증환인가발생다계통병발증.보조검사가견백세포급중성립세포비치증고등특정.EV71위중증병례적주요병원,점중증병례적77.21％.결론 산동성림기지구수족구병류행구유명현계절성、인군성급지구성.침대본지구류행병특점,제정구역특이성방치조시지관중요.
Objective To investigate the epidemiological and clinical characteristics of hand,foot and mouth diseases (HFMD) in Linyi area,which may provide insight for developing disease control therapy.Methods Make an observation table,then record and analyze the epidemiological and clinical characteristics of HFMD in Linyi area.The data was then descriptively analyzed.Results The highest peak of HFMD incidence was detected at May.Most of the patients were children less than 3 years old and there was a tendency of HFMD in boys and children living in rural and suburban areas.Clinical symptoms mainly included fever and skin rash.Severe patients can also have various complications.Laboratory test usually showed elevated leukocyte count and neutrophil percentage.The major pathogens causing severe HFMD cases were enterovirus 71 (EV71),accounting for 77.21％ of all cases.Conclusion HFMD of Linyi area showed varied epidemiological characteristics at different seasons,areas and population.Developing control therapy according to the specific epidemiological and clinical characteristics is essential for the management of HFMD in Linyi area.