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目的了解2010年楚雄州手足口病流行情况及原因,分析其流行特征,为制定有效的预防控制措施提供科学依据。方法收集2010年全州各级医疗机构通过国家疾病监测信息报告管理系统报告的手足口病数据,对其进行流行病学三间分布分析,同时采集部分病例标本进行实验室病原学检测。结果全州共发病1 488例,发病率为54.87/10万;全年均有病例发生,发病高峰为6—9月份,占全年病例总数的68.93%;发病地区以禄丰县居多,占41.41%;发病年龄最小为3月龄,最大为13岁,其中1～4岁发病1 203例,占80.85%;散居儿童发病1 074例,占72.18%。结论楚雄州手足口病流行广,发病率高,与气温高、散居儿童家长卫生防病意识差等因素有关,也不排除部分病例误诊误报。
OBJECTIVE To understand the prevalence and causes of HFMD in Chuxiong Prefecture in 2010 and analyze its epidemiological characteristics and provide a scientific basis for formulating effective preventive and control measures. Methods The hand, foot and mouth disease data reported by statewide medical institutions at all levels through the National Disease Surveillance Information Reporting Management System were collected in 2010 and analyzed by epidemiology. Meanwhile, some cases were collected for laboratory etiological detection. Results A total of 1 488 cases were found in the whole state, with an incidence rate of 54.87 / 100 000. All the cases occurred in the whole year, the peak incidence was from June to September, accounting for 68.93% of the total number of cases in the year. Most of the incidence areas were Lufeng County, accounting for 41.41 %; The minimum age of onset was 3 months old, the maximum was 13 years old, of which 1 203 cases were 1 to 4 years old, accounting for 80.85%. The incidence of scattered children was 1 074 cases, accounting for 72.18%. Conclusion Chuxiong state hand-foot-mouth disease epidemic, the incidence rate is high, and the high temperature, poor health awareness of children with diarrhea and other factors, but also does not rule out the misdiagnosis of some cases.