2005～2008年济南市手足口病疫情资料分析

Analysis on the Epidemic of Hand-foot-mouth Disease in Ji'nan City from 2005 to 2008

[目的]了解手足口病发病特征及流行趋势，为制订防制策略提供科学依据．[方法]应用描述流行病学方法对济南市2005-2008年手足口病监测资料进行分析。[结果]2005-2008年济南市手足口病报告发病9910例。年均发病率40．67／10万。不同年份间发病率的差异有统计学意义（P〈0．01）。市区平均发病率73．35／10万，郊区（县）平均发病率22．47／10万，市区高于郊区（县），差异有统计学意义（P〈0．01）。男性发病率为49．59／10万，女性发病率为31．57／10万，差异有统计学意义（P〈0．01）。男女之比为1．61：1。5岁以下年龄组发病最多7941例，占80．13％；职业分布中以散居儿童（5136例）、幼托儿童（4191例）发病较多，分别占51．83％、42．29％。5～7月为高发季节。占全年发病的80．93％。[结论]手足口病是我市重点防控的传染病，应加强疫情监测和控制，防止其暴发流行。

[Objective]To analyze the prevalent trend of hand-foot-mouth disease（HFMD） in Ji＇nan City and provide scientific basis for making preventive control strategy. [Methods]The epidemic situation of HFMD from 2005 to 2008 in Ji＇nan were analyzed by descriptive epidemiology method. [Results] A total of 9 910 HFMD cases were reported in Ji＇nan from 2005 to 2008. Average annual incidence of HFMD was 40. 67/100 000. There was significant difference in the incidence reported by years （ P 〈 0.01 ）. Incidence of borough was 7 3.35 / 100000 and that of county was 2 2.47 / 100000. There was significant difference in the incidence reported by country and borough（ P 〈0. 01） The incidence was 49.59/ 100 000 in male, while it was 31.57/100 000 in female,there was a difference （ P〈0.01）. The ratio of male to female was 1.61 ： 1. HFMD gave priority to the children under 5 years old which accounted for 80. 13%. Dispersed children （51.83%） and nursery children （42. 29%）constituted the occupational predominance among the affected cases. HFMD epidemic peak occurs through May to July which accounted for 80. 93%. [Conclusion]The epidemic surveillance and control work of HFMD must be strengthened in order to prevent outbreak