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目的了解连平县肠道传染病的发病特点和流行趋势,为制定有针对性的预防控制措施提供科学依据。方法对国家疾病监测信息管理系统网络直报的2004-2013年连平县所有肠道传染病疫情资料进行描述性流行病学分析。结果 2004-2013年连平县累计报告肠道传染病7种共1 108例病例,年均发病率为29.44/10万。发病有一定的季节性,主要集中在4~6月份(691例,占总报告病例数的62.36%)。发病率最高的为上坪镇,年均发病率为50.00/10万,各地区发病率差异有统计学意义(χ2=238.92,P<0.01)。男性694例,女性414例,性别比为1.68∶1,差异有统计学意义(χ2=63.27,P<0.01)。发病主要集中在5岁以下儿童(963例,占86.91%),尤以手足口病发病为主(899例)。职业以散居儿童居多(815例,占总报告病例数的73.56%)。结论肠道传染病的防控关键时期是夏季,重中之重是防控手足口病。应定期考核与评价传染病报告质量,加强疫情监测工作,加大健康教育宣传力度。
Objective To understand the incidence and epidemic trend of intestinal infectious diseases in Lianping County and provide scientific basis for the development of targeted prevention and control measures. Methods Descriptive epidemiological analysis of all the intestinal infectious diseases in Lianping County from 2004 to 2013, which was directly reported by the National Disease Surveillance Information Management System Network, was conducted. Results A total of 1 108 cases of intestinal infectious diseases were reported in Lianping County from 2004 to 2013, with an average annual incidence of 29.44 / 100 000. The incidence of a certain seasonal, mainly in the 4 to June (691 cases, accounting for 62.36% of the total number of reported cases). The highest incidence rate was in Shangping, with an average annual incidence rate of 50.00 / 100000. There was a significant difference in the incidence rates among various regions (χ2 = 238.92, P <0.01). There were 694 males and 414 females, with a sex ratio of 1.68: 1, the difference was statistically significant (χ2 = 63.27, P <0.01). The incidence mainly concentrated in children under 5 years old (963 cases, accounting for 86.91%), especially hand-foot-mouth disease (899 cases). Occupation was dominated by scattered children (815 cases, accounting for 73.56% of the total reported cases). Conclusion The key period of prevention and control of intestinal infectious diseases is summer, and the most important prevention and control of hand, foot and mouth disease. The quality of the reports of infectious diseases should be regularly evaluated and evaluated, the epidemic situation monitoring should be strengthened, and the publicity of health education should be stepped up.