国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
International Journal of Epidemiology and Infectious Disease
2015年
5期
325-328
,共4页
孙烨祥%徐来荣%李珊燕%赵虹%林鸿波%平建明%李保军
孫燁祥%徐來榮%李珊燕%趙虹%林鴻波%平建明%李保軍
손엽상%서래영%리산연%조홍%림홍파%평건명%리보군
手足口病%季节性%聚类分析%圆形分布
手足口病%季節性%聚類分析%圓形分佈
수족구병%계절성%취류분석%원형분포
Hand%foot and mouth disease%Seasonality%Clustering analysis%Circular distribution
目的 了解宁波市鄞州区不同手足口病优势型病原季节性流行特征. 方法 采用系统聚类分析和圆形分布法,对中国疾病监测信息报告系统和鄞州区CDC实验室检测系统中2010—2014年手足口病监测资料,进行不同病原优势型季节性特征分析. 结果 2010—2014年宁波市鄞州区手足口病发病呈上升趋势(χ2 趋势=6 384.94,P<0.01),且总体病原体阳性检出率不同(χ2=175.495,P<0.01). 聚类分析显示:2010—2011年病原以EV71为主,占60.30%,发病呈单高峰特征;2012和2014年以其他肠道病毒为主,占46.62%,发病呈现主次双高峰特征;2013年病原以其他肠道病毒为主,占82.89%,发病呈现双高峰特征,各时段各病原分布特征差异有统计学意义(χ2=264.035,P<0.01). 圆形分布显示,2010—2011年、2012和2014年、2013年手足口病发病高峰时间分别为6月22日、6月14日、7月24日(r=0.497、0.358、0.276),差异有统计学意义(Z=1 521.00、1 919.29、399.38,P均<0.05). 结论 宁波市鄞州区手足口病不同优势型病原存在不同的季节性发病特征;应根据不同病原的发病特征采取有针对性的措施.
目的 瞭解寧波市鄞州區不同手足口病優勢型病原季節性流行特徵. 方法 採用繫統聚類分析和圓形分佈法,對中國疾病鑑測信息報告繫統和鄞州區CDC實驗室檢測繫統中2010—2014年手足口病鑑測資料,進行不同病原優勢型季節性特徵分析. 結果 2010—2014年寧波市鄞州區手足口病髮病呈上升趨勢(χ2 趨勢=6 384.94,P<0.01),且總體病原體暘性檢齣率不同(χ2=175.495,P<0.01). 聚類分析顯示:2010—2011年病原以EV71為主,佔60.30%,髮病呈單高峰特徵;2012和2014年以其他腸道病毒為主,佔46.62%,髮病呈現主次雙高峰特徵;2013年病原以其他腸道病毒為主,佔82.89%,髮病呈現雙高峰特徵,各時段各病原分佈特徵差異有統計學意義(χ2=264.035,P<0.01). 圓形分佈顯示,2010—2011年、2012和2014年、2013年手足口病髮病高峰時間分彆為6月22日、6月14日、7月24日(r=0.497、0.358、0.276),差異有統計學意義(Z=1 521.00、1 919.29、399.38,P均<0.05). 結論 寧波市鄞州區手足口病不同優勢型病原存在不同的季節性髮病特徵;應根據不同病原的髮病特徵採取有針對性的措施.
목적 료해저파시은주구불동수족구병우세형병원계절성류행특정. 방법 채용계통취류분석화원형분포법,대중국질병감측신식보고계통화은주구CDC실험실검측계통중2010—2014년수족구병감측자료,진행불동병원우세형계절성특정분석. 결과 2010—2014년저파시은주구수족구병발병정상승추세(χ2 추세=6 384.94,P<0.01),차총체병원체양성검출솔불동(χ2=175.495,P<0.01). 취류분석현시:2010—2011년병원이EV71위주,점60.30%,발병정단고봉특정;2012화2014년이기타장도병독위주,점46.62%,발병정현주차쌍고봉특정;2013년병원이기타장도병독위주,점82.89%,발병정현쌍고봉특정,각시단각병원분포특정차이유통계학의의(χ2=264.035,P<0.01). 원형분포현시,2010—2011년、2012화2014년、2013년수족구병발병고봉시간분별위6월22일、6월14일、7월24일(r=0.497、0.358、0.276),차이유통계학의의(Z=1 521.00、1 919.29、399.38,P균<0.05). 결론 저파시은주구수족구병불동우세형병원존재불동적계절성발병특정;응근거불동병원적발병특정채취유침대성적조시.
Objective To analyze the seasonal trend features of different pathogenic dominant strains of hand, foot and mouth disease (HFMD) in Yinzhou district, Ningbo. Methods Systematic cluster analysis and circular distribution were used to analyze the seasonal trend features of different pathogenic dominant strains of HFMD. The data were collected from National Notifiable Disease Reporting System and laboratory testing system of Yinzhou Center for Disease Control and Prevention from 2010 to 2014. Results From 2010 to 2014, the incidence of HFMD was increasing in Yinzhou district (χ2trend=6 384.94,P<0.01), and the positive rates of overall pathogens were different (χ2=175.495,P<0.01). EV71 was the main pathogen of 2010 and the 2011 as one type, accounting for 60.30% with a pathogenetic characteristic of single peak. Other entericvirus was the main pathogens of 2012 and 2014 as one type, Which was accounting for 46.62% with a pathogenetic characteristic of primary and secondary double peak. Other entericvirus was the main pathogen of 2013 as one type , Which was accounting for 82.90% with a pathogenetic characteristic of double peak. The differences between years were statistically significant (χ2=264.035,P<0.01). According to the circular distribution, the peak time of different types were June 22nd from 2010 to 2011, June 14th in 2012 and 2014, and July 24th in 2013, while r value of different types was 0.497, 0.358 and 0.276. The differences were statistically significant (Z=1 521.00,1 919.29,399.38,P<0.05). Conclusions There are different seasonal trend features of different pathogenic dominant strains of HFMD in Yinzhou district,the preventive measures before the epidemic period should be based on different pathogenic dominant strains.
