CAJ | 학술논문

目的：分析近三年东莞市手足口病发病情况，探讨适宜的手足口病防控措施。方法对2011～2013年东莞市人民医院手足口病临床资料数据进行分析。结果累计报告手足口病21817例，其中住院病例4978例，门诊病例16839例，每年总发病情况未见明显变化（P＞0.05）；2011、2012年均住院率大致相仿，2013年略有下降（P＜0.05）；近三年重症手足口病发生率略有下降（P＜0.05）。病例主要集中在5岁及以下幼儿，占病例总数的98.89%，其中男性多于女性。2011～2012发病呈现双峰分布特点，最高峰出现在5、6月份，2013年发病呈单峰分布，且高峰推迟到9月份。结论5、6月份和9月份为手足口病的高发月份，近三年手足口病的总发病情况仍未见明显减少，病例主要分布在5岁及以下幼儿，应加强易感人群在高发月份的防控。
목적：분석근삼년동완시수족구병발병정황，탐토괄의적수족구병방공조시。방법대2011～2013년동완시인민의원수족구병림상자료수거진행분석。결과루계보고수족구병21817례，기중주원병례4978례，문진병례16839례，매년총발병정황미견명현변화（P＞0.05）；2011、2012년균주원솔대치상방，2013년략유하강（P＜0.05）；근삼년중증수족구병발생솔략유하강（P＜0.05）。병례주요집중재5세급이하유인，점병례총수적98.89%，기중남성다우녀성。2011～2012발병정현쌍봉분포특점，최고봉출현재5、6월빈，2013년발병정단봉분포，차고봉추지도9월빈。결론5、6월빈화9월빈위수족구병적고발월빈，근삼년수족구병적총발병정황잉미견명현감소，병례주요분포재5세급이하유인，응가강역감인군재고발월빈적방공。
ObjectiveTo analyze the morbidity of hand-foot-and-mouth disease (HFMD) since the past three years in Dongguan City, and to investigate appropriate prevention and control measures of HFMD. Methods The clinical information and data of HFMD from 2011 to 2013 in People's Hospital of Dongguan City were analyzed. Results21 817 cases of HFMD were cumulatively reported, including 4978 cases of hospitalized cases, 16 839 cases of outpatient cases, the total annual incidence was no significant changes (P>0.05); annual hospitalization rate between 2011 year and 2012 year was roughly similar, and was slightly decreased in 2013 year (P<0.05); HFMD incidence in recently three years was severe decreased slightly (P<0.05). There were mainly patients with children under 5 years of age and accounted for 98.89%of the total number of cases, in which male more than female. It was bimodal distribution of onset from 2011 to 2012, peak appeared in May and June,while 2013 year appeared unimodal distribution of onset and peak postponed until September.Conclusion High incidence of HFMD maybe in May and June and September for the month, the incidence of HFMD has yet significantly reduced recenty three years, mainly in cases of children under 5 years and should be strengthened high prevention and control in susceptible population and occurred frequently month.