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[目的]了解南京地区手足口病流行病学规律,探索正确的应对措施,有效地开展预防控制工作。[方法]利用国家疾病监测网络直报信息系统中属于本区2009年1月1日～12月31日手足口病疫情信息,对本地区手足口病定点医院6733例手足口病病例进行临床流行病学分析。[结果]手足口病好发于春夏季节,4月及6月达到高峰;属于南京地区本地发病患者5024例,占74.62%;外来人口发病患者1709例,占25.38%;3岁以下儿童多见,共5322例,占79.04%,其中尤以1岁以下最为多见,共2387例,占35.45%;散居儿童发病多于幼托儿童,学龄儿童发病较少,仅占2.88%;6733例手足口病患儿中重症手足口病患儿194例,占2.88%,194例重症手足口病患儿年龄分析表明,重症病例主要发生于4岁以下,其构成比达到90.21%。[结论]手足口病是儿童常见传染病,落实各项预防措施,控制传染源;切断传播途径;及保护易感人群是控制手足口病流行的关键。应加强手足口病各项监测,进行流行病学分析,掌握流行规律,开展病毒与变异监测,及时准确地预测手足口病流行趋势。
[Objective] To understand the epidemiology of hand, foot and mouth disease in Nanjing, explore the correct countermeasures and effectively carry out prevention and control work. [Method] Using the information of hand-foot-mouth disease from January 1, 2009 to December 31, 2009 in the direct reporting system of national disease monitoring network, the epidemic situation of hand-foot-mouth disease in 6733 cases of hand-foot- Analysis. [Results] Hand-foot-mouth disease occurred in spring and summer, reaching the peak in April and June. There were 5024 locally infected patients in Nanjing, accounting for 74.62% of all cases; 1,709 were foreign patients, accounting for 25.38% of all cases; children under 3 years of age See, a total of 5322 cases, accounting for 79.04%, especially in the most common under 1 year old, a total of 2387 cases, accounting for 35.45%; scattered children onset more than kindergarten children, less incidence of school-age children, accounting for only 2.88%; 6733 cases 194 cases of hand-foot-mouth disease in children with severe HFMD, accounting for 2.88%, 194 cases of severe HFMD children age analysis showed that severe cases occurred mainly under the age of 4, the constituent ratio reached 90.21%. [Conclusion] Hand-foot-mouth disease is a common infectious disease in children, implementing various precautionary measures, controlling the source of infection, cutting off the route of transmission, and protecting susceptible people are the keys to control the epidemic of hand-foot-mouth disease. The monitoring of HFMD should be strengthened, the epidemiological analysis should be conducted, the epidemic laws should be mastered, the surveillance of viruses and mutation should be carried out, and the epidemic trend of HFMD should be timely and accurately predicted.