手足口病53例临床及流行病学分析

Analysis of 53 hand-foot-mouth disease patients

目的了解本地区手足口病的临床特点及流行病学情况。方法回顾分析2006年8月～2008年10月53例初诊患者的资料。结果全年发病，以4～6月多发。男女比1．8：1，年龄10月～31岁，中位年龄213岁。6岁以下占83．01％。2例再感染。28．3％患者伴有发热。手-足-口同时有皮疹者77．36％。皮疹常见位置依次为手（98．11％）、足（92．45％）、口（81．13％）、臀、大腿等。皮疹首发于手部者为56．60％，其他依次为口33．96％、臀32．08％、足30．19％。结论手足1：2病主要发生在6岁以下小孩。男性多发，可以再感染。仅部分患者发热。非所有患者同时有手-足-口典型皮疹。臀、大腿也是常见发病部位。首发皮疹最常见于手。

Objective To evaluate the clinical features and prevalence of hand-foot-mouth disease. Methods The clinical data of 53 patients who were referred to our department at their first consultations during Aug. 2006 to Oct. 2008 were retrospectively analyzed. Results The ratio of male to female was 1.8：1. The age range fof patients was 10 months to 31-year-old.. 83.01% of the patients were under 6-year-old. 11.32% of them were adults. There were 2 eases with reinfection. 28.3% of the cases had fever. Only 77.36% of the eases developed simultaneously a typical lesions on the hands,feet and mouth. The lesions were distributed mostly on the hands （98.11%）,then feet （92.45%） and mouth （81.13%）. Buttocks and thighs were predisposed sites for lesions as well. The first lesion always developed on hands （56.60%）,or mouth （33.96%）,buttock （32.08%） and feet （30.19%）. Conclusion Most of the patients with hand-foot- mouth disease are under 6-year-old,amd most of them were males,it also occurs in auurts, Some pauents may have reinfection. Only part of the eases have fever. Not all the cases have a typical lesions distributed simultaneously on the hands ,feet and mouth. Hips and thighs are the predisposed sites of lesions as well. Hands are the most common sites of the first lesion, sometimes the hips is one of them as well.