摘要
目的：分析陕西省手足口病高发区蒲城县手足口病的流行和发展趋势，为制定预防控制策略提供科学依据。方法用描述性流行病学方法对蒲城县2009至2013年手足口病疫情资料进行分析。结果蒲城县2009至2013年累计报告手足口病8712例，年均报告发病率223．78/10万。每年4至7月和9至11月为手足口病高发季节，发病数分别占发病总数的59．52％和29．81％；儿童0～5岁为高发年龄，发病数占发病总数的96．14％。男性年均报告发病率为271．22/10万，女性为195．29/10万，男性发病率高于女性。实验室诊断病例中肠道病毒71型感染占77．19％。中部台塬区发病率为252．01/10万，高于北部山原沟壑区和南部平原区。不同地区间病原学差异无统计学意义（确切概率P＝0．564）。结论蒲城县手足口病具有明显的季节性高发特点，5岁以下儿童为手足口病高危人群，应持续重点加强农村地区的健康教育和卫生宣传，引导群众及早就医，并坚持隔离，从而达到有效控制疫情。
Objective To analyze the prevalence and features of hand-foot-mouth disease （ HFMD） in Pucheng County, and provide scientific evidence for formulating prevention strategy .Methods The descriptive statistics was used to analyze HFMD surveillance data from Pucheng County .Results The number of accumulated reported cases of HFMD during the period of 2009-2013 was 8 712 with average incidence of 223.78/100 000 per year.The peak incidence occurred in April to July and September to November , which contributed to 59.52%and 29.81%of all cases, respectively.Most of cases were children aged 0-5 years, which contributed to 96.14% of all cases. The yearly incidence of males was higher than that of females （271.22/100 000 vs 195.29 /100 000）.There were 77.19%cases with EV virus 71 infections.The incidence in middle are was 252.01/100 000, which was higher than the north and south area .The difference in etiology was not significant among different areas （P=0.564）.Conclusion The HFMD in Pucheng County has obvious characteristic of peak seasons at spring and summer .The children under 5 years-old are high-risk population .Health education and promotion in rural areas should be continuously strengthened to guide cases for early treatment and to isolate cases for disease control .
出处
《中国妇幼健康研究》
2014年第2期199-201,共3页
Chinese Journal of Woman and Child Health Research
