现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2015年
9期
1311-1313
,共3页
手足口病%传染病控制%流行病学方法%数据收集%儿童%发病率
手足口病%傳染病控製%流行病學方法%數據收集%兒童%髮病率
수족구병%전염병공제%류행병학방법%수거수집%인동%발병솔
Hand,foot and mouth disease%Communicable disease control%Epidemiologic methods%Data collec-tion%Child%Incidence
目的：分析隆昌县2011～2013年手足口病易感人群（5以下岁儿童）的分布规律，为手足口病重点防控提供依据。方法利用描述性流行病学研究方法对2011～2013年5岁以下儿童手足口病监测数据、肠道病毒核酸检测结果等资料进行分析。结果2011～2013年隆昌县5岁以下儿童手足口病报道例数为600例，占该地区该病例总数的93.3%（600/643），年均发病率达510/10万；1～<2岁年龄组人群的发病率最高（34.5%），4～<5岁年龄组人群的发病率最低（4.5%）；男童年均发病率（610/10万）高于女童（410/10万），差异有统计学意义（χ2=39.42，P<0.01）；2011～2013年每年各月均有发病，5月和12月为发病高峰；隆昌县发病率最高的是金鹅镇（县城）（186例），最低是李市镇（5例）；肠道病毒核酸检测显示以肠道病毒71感染为主（46.5%）。结论隆昌县5岁以下儿童手足口病的流行特征具有明显的人群、地区、季节性，应针对重点人群采取积极防控措施，加强对手足口病患儿的及时识别和重症病例的救治。
目的：分析隆昌縣2011～2013年手足口病易感人群（5以下歲兒童）的分佈規律，為手足口病重點防控提供依據。方法利用描述性流行病學研究方法對2011～2013年5歲以下兒童手足口病鑑測數據、腸道病毒覈痠檢測結果等資料進行分析。結果2011～2013年隆昌縣5歲以下兒童手足口病報道例數為600例，佔該地區該病例總數的93.3%（600/643），年均髮病率達510/10萬；1～<2歲年齡組人群的髮病率最高（34.5%），4～<5歲年齡組人群的髮病率最低（4.5%）；男童年均髮病率（610/10萬）高于女童（410/10萬），差異有統計學意義（χ2=39.42，P<0.01）；2011～2013年每年各月均有髮病，5月和12月為髮病高峰；隆昌縣髮病率最高的是金鵝鎮（縣城）（186例），最低是李市鎮（5例）；腸道病毒覈痠檢測顯示以腸道病毒71感染為主（46.5%）。結論隆昌縣5歲以下兒童手足口病的流行特徵具有明顯的人群、地區、季節性，應針對重點人群採取積極防控措施，加彊對手足口病患兒的及時識彆和重癥病例的救治。
목적：분석륭창현2011～2013년수족구병역감인군（5이하세인동）적분포규률，위수족구병중점방공제공의거。방법이용묘술성류행병학연구방법대2011～2013년5세이하인동수족구병감측수거、장도병독핵산검측결과등자료진행분석。결과2011～2013년륭창현5세이하인동수족구병보도례수위600례，점해지구해병례총수적93.3%（600/643），년균발병솔체510/10만；1～<2세년령조인군적발병솔최고（34.5%），4～<5세년령조인군적발병솔최저（4.5%）；남동년균발병솔（610/10만）고우녀동（410/10만），차이유통계학의의（χ2=39.42，P<0.01）；2011～2013년매년각월균유발병，5월화12월위발병고봉；륭창현발병솔최고적시금아진（현성）（186례），최저시리시진（5례）；장도병독핵산검측현시이장도병독71감염위주（46.5%）。결론륭창현5세이하인동수족구병적류행특정구유명현적인군、지구、계절성，응침대중점인군채취적겁방공조시，가강대수족구병환인적급시식별화중증병례적구치。
Objective It is analyzed the distribution rules of the hand-foot-mouth disease susceptibles (children aged 5 or below) in Longchang county from 2011 to 2013 to provide reference for preventing hand-foot-mouth disease especially. Meth-ods A descriptive epidemiology was used to analyze the monitoring data and intestinal virus nucleic acid detection results of hand-foot-mouth disease children under 5 years old from 2011 to 2013. Results A total of 600 children patients under 5 years old with hand-foot-mouth disease in Longchang county from 2011 to 2013,accounting for 93.3%(600/643) of the total patients in this region with the average morbidity reaching 510/100 ,000. The incidence in the group aged 1-<2 years old was the highest , ac-counting for 34.5%while the incidence in the group aged 4-<5 years old was lowest ,accounting for 4.5%. The prevalence of the male was higher than that of the female (610/100,000 vs 410/100,000). The difference had statistical significance (χ2=39.42,P<0.01).There were patients reported each month from 2011 to 2013,in which,May and December were the peak period. The high est region in Longchang county was Jin′e township(186),the lowest was Lishi township(5). It displayed EV71 prevailed by intesti-nal virus nucleic acid,accounting for 46.5%. Conclusion The popular features of the children patients with hand-foot-mouth disease under 5 years old in Longchang county obviously were characterized in crowd ,region and season,the positive preventions and controlling measures should be taken for the key crowd and strengthen the timely identification of children with hand-foot-mouth disease and treatment of severe cases.
