云南省手足口病重症病例危险因素分析

发布时间：2018-03-30 07:12

本文选题：手足口病　切入点：重症病例　出处：《现代预防医学》2017年06期

【摘要】：目的探讨云南省重症手足口病病例的危险因素。方法收集2009-2015年云南省手足口病高发的4个州(市)344例重症手足口病和440例普通手足口病诊断病例,分析手足口病重症的危险因素。结果多因素分析显示;自然分娩、半岁前全母乳喂养、主要看护人的文化程度高,初诊诊断为手足口病是重症手足口病的保护因素;明确传染源接触史、发病到就诊的时间长、发病到确诊的时间短、确诊手足口病的医院级别高、离家最近的医疗机构级别高、发热、EV71感染、流动人口、家庭年平均收入高、家庭人均居住面积小为重症手足口病的危险因素。结论流动人口、有明确手足口病传染源接触史、出现发热症状、且EV71病毒检测阳性的患儿是云南省重症手足口病的防控重点人群。提高医疗机构对手足口病的早期诊断能力,鼓励倡导自然分娩和半岁之前的全母乳喂养,均可预防手足口病重症的发生。
[Abstract]:Objective to investigate the risk factors of severe hand, foot and mouth disease in Yunnan Province.Methods 344 cases of severe HFMD and 440 cases of HFMD in Yunnan Province from 2009 to 2015 were collected and the risk factors of HFMD were analyzed.Results Multi-factor analysis showed that natural delivery, exclusive breast-feeding before half a year of age, high educational level of the main caregivers, first diagnosis of hand-foot-mouth disease was the protective factor of severe hand-foot-mouth disease, the history of contact with the source of infection was clear, and the time from onset to consultation was long.The time from onset to diagnosis is short, the hospital level for the diagnosis of HFMD is high, the level of the nearest medical institution from home is high, the fever is infected with EV71, the floating population, and the average annual income of the family is high.The average household living area was small as a risk factor for severe HFMD.Conclusion the floating population has a clear contact history of HFMD infection source, fever symptoms, and the children with positive detection of EV71 virus are the key population of prevention and control of severe HFMD in Yunnan Province.To improve the ability of early diagnosis of HFMD in medical institutions and to encourage natural delivery and exclusive breastfeeding before half year of age can prevent the occurrence of HFMD.
【作者单位】：云南省疾病预防控制中心;
【基金】：国家科技重大专项传染病监测技术平台项目(项目编号:2016ZX10004212)
【分类号】：R725.1;R181.3

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