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目的掌握保定市及周围地区近3年手足口病患者的发病情况、流行特征、流行规律,为正确防控手足口病提供依据。方法采用回顾性调查方法,收集整理保定市儿童医院2010~2012年接诊的手足口病病例、信息及实验室结果,应用描述性流行病学方法进行分析。结果近3年保定市手足口病发病有逐渐下降的趋势,网络直报病例2011年较2010年下降39.7%,2012年较2011年下降5.4%;住院病例分别下降31.2%、9.0%;2011、2012年无重症病例及死亡病例。发病年龄集中在1~4岁,占74%,流行季节为每年5~8月,平均占发病总数的71.7%,男女性别之比为1.59:1。保定东南部平原地区发病高于西北部山区。结论应进一步加强手足口病防控工作,特别是每年5~8月份,做好1~4岁小儿的防控工作。
Objective To grasp the incidence, epidemic characteristics and epidemic patterns of hand, foot and mouth disease in Baoding City and surrounding areas in recent 3 years and provide evidence for the correct prevention and control of hand, foot and mouth disease. Methods A retrospective survey was conducted to collect and analyze the cases, information and laboratory results of hand-foot-mouth disease admitted to Children’s Hospital of Baoding between 2010 and 2012. The data were analyzed by descriptive epidemiology. Results The incidence of HFMD in Baoding City in recent 3 years showed a gradual decline. The number of reported cases of direct mail reporting in 2011 dropped by 39.7% from 2011 to 2010 and by 5.4% in 2012 compared with 2011. The number of inpatient cases decreased by 31.2% and 9.0% respectively. In 2011, No severe cases and deaths in 2012. The age of onset was 1 ~ 4 years old, accounting for 74%. The epidemic season was from May to August each year, accounting for an average of 71.7% of the total. The sex ratio was 1.59: 1. Baoding southeastern plain higher incidence than the northwestern mountainous areas. Conclusion The prevention and control of hand, foot and mouth disease should be further strengthened, especially from May to August every year, so as to prevent and control children aged 1 to 4 years.