2008—2013年大同市手足口病流行病学分析

发布时间：2018-04-11 13:54

本文选题：手足口病 + 流行病学　；参考：《中国健康教育》2015年01期

【摘要】：目的了解大同市近年来手足口病的流行特征,为本市做好手足口病的预防控制工作提供依据。方法采用Excel 2003软件,按发病年龄统计,以发病率、构成比、性别、年龄等指标对手足口病资料运用描述性研究方法进行分析,率的比较采用χ2检验。结果大同市从2008—2013年共报告手足口病14 533例,年均发病率为75.19/10万;2008—2013年手足口病发病出现两个高峰,2008年和2011年,发病率分别为174.56/10万和63.62/10万,3年为一个流行周期;发病以5岁以下儿童为主,占总病例数的82.35%;男性发病率(88.59/10万)显著高于女性(61.22/10万),男女发病率差异有统计学意义(χ2=1.45,P0.05);5—7月份手足口病的病例数占全年病例数的65.14%,为手足口病高发季节;大同市2010—2013年4年病原学监测显示,EV71、CVA16、其他肠道病毒总的构成比分别为35.14%、46.39%和17.87%,每年流行的优势菌株不同。结论手足口病的发生存在明显的年龄、性别、季节差异,在流行高峰来临之前,针对重点人群采取针对性的防治结合措施是控制疫情、降低重症病例和死亡病例的关键。
[Abstract]:Objective to understand the epidemic characteristics of hand, foot and mouth disease in Datong City in recent years, and to provide basis for the prevention and control of hand foot and mouth disease in Datong City.Methods Excel 2003 software was used to analyze the data of HFMD according to the age of onset, incidence, constitution ratio, sex, age and so on. The rate of HFMD was analyzed by 蠂 2 test.Results from 2008 to 2013, 14 533 cases of hand, foot and mouth disease were reported in Datong city. The annual incidence rate of HFMD was 75.19 / 100 000 and the incidence of HFMD in 2008-2013 was two peaks. In 2008 and 2011, the incidence rate of HFMD was 174.56% / 100 000 and 63.62% / 100 000, respectively, which was a epidemic cycle in 3 years.Children under 5 years of age are the main victims of the disease.The incidence of HFMD in males was significantly higher than that in females (61.22 / 100 000). The difference between male and female was statistically significant (蠂 ~ (2 +) 1.45%, P 0.05). The number of HFMD cases accounted for 65.14% of the total cases in May and July, which was the high incidence season of Hand-foot-mouth disease.The pathogen surveillance of Datong city from 2010 to 2013 showed that EV71 CVA16, the total composition ratio of other enterovirus was 35.1446.39% and 17.87% respectively, and the dominant strains were different each year.Conclusion there are obvious age, sex and seasonal differences in the occurrence of HFMD. Before the peak of epidemic, it is the key to control the epidemic situation and reduce the severe cases and death cases.
【作者单位】：大同市疾病预防控制中心;
【分类号】：R725.1;R181.3

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