2009～2015年周口市手足口病流行病学分析

发布时间：2018-06-24 17:31

本文选题：手足口病 + 流行病学　；参考：《预防医学论坛》2016年12期

【摘要】：目的了解周口市手足口病的流行病学特征,为手足口病防控措施提供科学依据。方法应用描述流行病学方法对周口市2009~2015年手足口病疫情资料和病原学监测资料进行统计分析。结果周口市2009~2015年共报告手足口病30 056例,其中重症病例619例,死亡13例;年均报告发病率为47.37/10万,死亡率为0.19/10万,病死率为0.04%。不同年份发病率差异有统计学意义(P0.01)。不同县(市、区)间的报告发病率差异有统计学意义(P0.01)。春夏季为高发季节,发病数占58.82%。发病率最高为川汇区(146.50/10万),最低为项城市(18.61/10万)。发病年龄5岁及以下幼儿为最高,占97.61%,男性发病率(66.16/10万)高于女性(37.15/10万)(P0.01),男女比为1.80∶1。不同县区、城乡、年龄发病率差异均有统计学意义(P0.01)。病原学检测阳性率为82.27%(984/1 196),EV71阳性率最高为46.74%(559/1 196),其次为CA16占8.45%(101/1 196),其他肠道病毒27.09%(324/1 196)。轻症、重症和死亡病例中EV71阳性率分别为29.62%、69.86%、84.62%,差异有统计学意义。结论 2009~2015年周口市手足口病每间隔1~2年一个流行高峰。EV71为流行优势毒株。
[Abstract]:Objective to investigate the epidemiological characteristics of hand-foot-mouth disease (HFMD) in Zhoukou City and to provide scientific basis for prevention and control of HFMD. Methods the epidemic data and etiological surveillance data of hand, foot and mouth disease from 2009 to 2015 in Zhoukou City were statistically analyzed by descriptive epidemiology. Results from 2009 to 2015, a total of 30 056 cases of hand, foot and mouth disease were reported in Zhoukou City, including 619 severe cases and 13 deaths, with an annual reported incidence of 47. 37 / 100 million, mortality of 0. 19 / 100 000 and mortality of 0. 04%. There was significant difference in incidence rate between different years (P0.01). There were significant differences in the reported incidence among different counties (cities and districts) (P0.01). Spring and summer are high incidence season, the incidence of 58.82. The highest incidence rate was in Sichuan (146.50 / 100,000), and the lowest was in the city (18.61 / 100,000). The incidence rate of male (66.16 / 100) was higher than that of female (3715 / 100) (P0.01), and the ratio of male to female was 1.80: 1. Different counties, urban and rural areas, age incidence rates were statistically significant (P0.01). The positive rate of EV71 was 82.27% (984 / 1 196), the highest was 46.74% (559 / 1 196), CA16 was 8.45% (101 / 1 196), and other enterovirus was 27.09% (324 / 1 196). The positive rates of EV71 in mild, severe and dead cases were 29.622 and 69.86, respectively. The difference was statistically significant. Conclusion the epidemic peak of HFMD in Zhoukou City from 2009 to 2015 is one epidemic peak per 1 ~ 2 years. EV71 is the predominant epidemic strain.
【作者单位】：周口市卫生局卫生监督局;周口市疾病预防控制中心;周口市传染病医院;
【分类号】：R725.1;R181.3

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