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[目的]分析重症手足口病例流行病学特征,为制定有效的预防控制措施提供依据。[方法]采用描述流行病学方法,对2010年1~6月陕西省网络报告的111例手足口病重症病例资料进行分析。[结果]111例手足口病重症病例中,死亡11例。杨凌示范区无重症病例,西安市29例,渭南市25例,其他市57例;散居儿童91例,幼托儿童18例,学生2例;病毒核酸检测97例,EV71阳性70例,Cox A16阳性10例,其他肠道病毒阳性2例。死亡病例中,渭南市4例,西安市和榆林市各2例,咸阳市、汉中市、商洛市各1例;散居儿童9例,幼托儿童2例;病毒核酸检测8例,均为EV71阳性。[结论]重症和死亡病例主要为3岁以下儿童,以EV71感染为主。
[Objective] To analyze the epidemiological characteristics of severe hand-foot-mouth disease and provide evidence for effective prevention and control measures. [Methods] Descriptive epidemiological methods were used to analyze the data of 111 cases of hand, foot and mouth disease reported from Shaanxi Province from January to June in 2010. [Results] 111 cases of hand, foot and mouth disease in severe cases, 11 died. There were 29 cases in Xi’an city, 25 cases in Weinan city and 57 cases in other cities; 91 cases were scattered children, 18 cases were children with kindergarten children and 2 were students; 97 cases were detected by virus nucleic acid, 70 cases were EV71 positive and Cox A16 Positive in 10 cases, other enterovirus positive in 2 cases. Among the deaths, there were 4 cases in Weinan, 2 cases in Xi’an and Yulin, 1 case in Xianyang, Hanzhong and Shangluo respectively; 9 cases were scattered children and 2 cases were child care children; Positive. [Conclusion] The main cases of severe illness and death are children under 3 years old, with EV71 infection predominating.