平顶山市3963例手足口病病例临床信息及流行病学特征分析

3963 cases of Hand foot mouth disease clinical features and epidemiological analysis in Pingdingshan city

目的分析平顶山市手足口病普通、重症病例的临床信息及流行病学特征,为手足口病防控提供依据。方法以2009-2011年平顶山市手足口病定点收治医院的3 963例普通和重症病例为研究对象,对其基本情况、就诊信息及临床特征进行分析。结果重症病例在性别、年龄、地区、职业上差异均有统计学意义(P<0.05);普通、重症病例在首诊医院构成、首诊是否明确手足口病上差异有统计学意义(P<0.001);重症病例转诊过程相对复杂;普通病例神经系统症状发生比例低于重症病例。结论要有针对性地开展宣传教育,加强对基层首诊医生的培训,做到早发现、早诊断、早治疗。

Objective The study the clinical features and epidemiological characteristics analysis of hand foot mouth disease （HFMD） common and severe cases of Pingdingshan city, and provide a scientific basis for control of HFMD. Methods A total of 5965 common and severe HFMD cases in designated hospitals of Pingdingshan city during 2009 - 2011 were chosen as study objects, the basic situation, medical information and clinical manifestations were analyzed. Results There were significant statistic differences in incidences of severe cases of different gender, ages, regions and career （P 〈 0. 05） ; There were significant differences in the type of hospital choose by patients firstly and the disease diagnosed firstly between mild cases and severe cases （P 〈0. 01 ） . Referral procedure of severe cases was relatively complex, common cases neurological symptoms occurrence rate were lower than the severe cases. Conclusions Need to conduct publication and education more respectively, and carry out training for basic - level first diagnosis doctors, early detection, early diagnosis, and early treatment are necessary.