某医院手足口病就诊病例分析

Analysis on Hand-foot-mouth Disease in a Hospital

[目的]分析手足口病流行期在医院就诊病例资料,掌握动态,控制蔓延。[方法]对2008年4月1日至2010年3月31日在医院就诊的全部手足口病病例进行监测分析。[结果]累计确诊手足口病518例,留观及住院手足口病265例;年龄1~22岁,平均1.99岁;男女发病性别比为1.6∶1;来自城乡结合部505例,占确诊总数的97.49%;散居儿童360例,占确诊总数的69.50%;幼托儿童149例,占确诊总数的28.76%,其中个体幼儿园139例,占确诊幼托儿童总数的93.29%;学龄儿童7例,占确诊总数的1.35%;农民2例,占确诊总数的0.39%。无手足口病漏报,无院内感染病例。[结论]对就诊病人进行流行病学调查,做到疫情监测常态化制度化规范化与严格执行消毒隔离制度并重,是及时报告和控制手足口病疫情的关键。

[Objective]To analyze the cases of hand foot-mouth disease which were admitted in the hospital,so as to master the trend of epidemic and control the spread of the disease creep.[Methods]To analyze the cases of hand foot-mouth disease which were admitted in hospital from April 1,2008 to March 31,2010.[Results]Among the 518 confirmed cases which were admitted in hospital,265 patients were in emergency observation room.The sexual ratio of incidence was 1.6∶1.Of the 518 patients（1 to 22 years old,and average 1.99 years old）,505（97.49%） patients were from the urban and rural connecting areas,360（69.50%） patients weren＇t old enough to attend kindergarten,149（28.76%） patients were old enough to attend kindergarten,139（93.29% of 149 patients who were old enough to attend kindergarten） patients attended private kindergarten,7（1.35%） patients were at school age,and 2（0.39%） patients were farmers.Meanwhile,no fail-to-report cases and no nosocomial infection cases of hand foot-mouth disease were detected.[Conclusion]According to the epidemiological investigation of the final diagnosis cases,the normalization,systematization and standardization of surveillance should be as important as the strict system of disinfection and isolation,which are essential to report and control the epidemic in time.