摘要
目的分析2009年常德市手足口病（HFMD）疫情的特点,为制定防治措施提供科学依据。方法采用描述流行病学方法对国家疾病监测报告管理系统中报告的2009年常德市手足口病疫情资料进行统计分析,并进行实验室监测分析。结果 2009年常德市共报告HFMD病例4 785例,发病率为83.63/10万,其中重症病例12例,无死亡病例。发病时间主要在3-7月份,发病年龄以0-5岁儿童为主,男性多于女性（男女性别比为1.71：1）;疫情以散发为主,局部地区高发。病原学检测提示,2009年全市以柯萨奇病毒（CoxA16）为主（47.37%）,肠道病毒71型（EV71）感染占22.41%,其他肠道病毒占31.03%。疱疹液中肠道病毒检出率（87.50%）最高,其次为肛拭子（60.78%）。结论手足口病的发生存在明显季节、地区、性别、年龄差异,5岁以内婴幼儿是常德市手足口病防控工作重点,开展广泛的健康教育和健康促进工作,对控制手足口病疫情起着至关重要的作用。
Objective To analyze the epidemiological characteristics of hand-footmouth disease（HFMD） in Changde in 2009,and to provide the scientific evidence for making prevention and control measures. Methods With descriptive epidemiological method,epidemic information of HFMD in Changde in 2009 which reported by Report and Management System of National Disease Surveillance was statistically analyzed.And the results of laboratory monitoring were analyzed. Results A total of 4,785 cases of HFMD were reported in Changde in 2009,including 12 severe cases,and no death case occurred.The incidence rate of HFMD was 83.63/100,000.The onset time was mainly from March to July.The onset ages ranged from 0 and 5 years.Male patients were more than female ones（the ratio of male to female was 1.71：1）.Most of the patients were sporadic cases,and local areas presented a higher incidence of HFMD.The results of pathogenic detection showed that the majority of the cases in Changde in 2009 were coxsackie virus（CoxA16） infection（47.37%）,followed by enterovirus 71（EV71） infection（22.41%）,and other enteroviruses infections（31.03%）.The detection rate of enterovirus in liquid herpes was the highest（87.5%）,followed by anal swabs（60.78%）. Conclusions The occurrence of HFMD has obvious season,region,gender and age differences.Infants and children under 5 years old are the working emphasis of HFMD control and prevention in Changde.Developing extensive health education and health promotion plays a vital role in controlling the epidemic of HFMD.
出处
《实用预防医学》
CAS
2010年第12期2421-2423,共3页
Practical Preventive Medicine
关键词
手足口病
EV71
流行病学
Hand-foot-mouth disease
EV71
Epidemiology
