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宣城市宣州区2009-2013年手足口病流行特征分析 被引量:16

Epidemiological characteristics of hand-foot-mouth disease in Xuanzhou,2009-2013
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摘要 目的 分析近年来宣城市宣州区手足口病流行特征和发病趋势,为手足口病防控提供科学依据.方法 采用描述性流行病学方法对宣州区2009-2013年手足口病监测资料进行分析.结果 2009-2013年宣州区手足口病发病呈波动上升趋势(χ^2趋势=33.09,P<0.001),每年出现两次流行高峰,包括发生在春季的主高峰和秋冬季的次高峰.城区发病率高于农村(χ^2 =201.58,P<0.001),男性发病率高于女性(χ^2=180.03,P<0.001),发病以5岁及以下儿童为主(93.6%);病原以肠道病毒71型(enterovirus 71,EV71)为主,与柯萨奇病毒A16型(coxsackie virus A16,CoxA16)和其他肠道病毒每隔1年呈交替上升和下降.结论 近年来,宣州区手足口病发病呈波动上升趋势,发病具有明显的季节性、地区性和人群性,需重点加强社区散居儿童手足口病防控工作. Objective To analyze the epidemiological characteristics and trends of hand, foot and mouth disease( HFMD) in Xuanzhou and to provide scientific evidence for HFMD prevention and control. Methods The descriptive epi- demiological analysis was conducted on the surveilliance data of HFMD from 2009 to 2013. Results The incidence rate of HFMD increased with fluctuation from 2009 to 2013( χ^2trend = 33.09 ,P 〈0. 001 ) and two peaks occurred including a major peak in spring followed by a smaller peak in autumn and winter. The average incidence rate was higher in city than in country( Z2 = 201.58, P 〈 0. 001 ). The incidence in boys was higher than that in girls( χ^2 = 180. 03, P 〈0. 001 ) and most cases were in children aged ≤5 years old ( 93.6% ). The major pathogen was enterovirus 71 ( EV71 ) which increased and declined every other year. Conclusions The incidence of HFMD increased with fluctuation. It was also varied with season, region and population in Xuanzhou. More attention should be paid to prevention and control measures of community scattered children HFMD.
出处 《中华疾病控制杂志》 CAS CSCD 北大核心 2015年第10期995-998,共4页 Chinese Journal of Disease Control & Prevention
关键词 手足口病 儿童 发病率 Hand, foot and mouth disease Child Incidence
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