2014年漯河市手足口病重症发病情况分析

Analysis on incidence of severe hand,foot and mouth disease in Luohe in 2014

目的通过对病例流行病学、病原学以及临床资料分析,探讨漯河市2014年儿童重症手足口病多发的可能因素,为手足口病防控提供依据。方法采用描述性分析的方法,对收集的漯河市2014年的357例手足口病重症患儿诊断指标以及流行病学资料,进行统计学分析。结果漯河2014年监测数据分析显示,HFMD重症病例发病数明显高于近三年同期平均水平,97.76%发生于5岁以下儿童,男性明显多于女性,发病率性别比为1.50:1,95.52%为散居儿童。重症病例中初步诊断为手足口病的占19.64%,普通病例中初步诊断为手足口病的占82.17%,提示重症病例初步诊断误诊率比较高。结论对于年龄小于5岁的HFMD,要提高诊断准确率,及早制定有效的治疗方案避免病情恶化。

0bjective To investigate the cause of children＇s severe hand,foot and mouth disease multiple possible factors and provide the basis for hand,foot and mouth disease prevention and control.Methods Descriptive epidemiological method was performed to analyze luohe in 2014 of 357 cases of children with severe hand,foot and mouth disease diagnosis index and epidemiological data.Results According to the monitoring data analysis of luohe in2014,HFMD incidence of serious illness case of illness is significantly higher than the average level in nearly three years in the same period.97.76 % in children under the age of five. Men was obvious More than women,incidence ratio was 1.50：1.95.52 % were scattered children. Severe cases were diagnosed as hand,foot and mouth disease by 19.64%.Normal cases were diagnosed as hand,foot and mouth disease by 82.17 %,which prompt severe cases a preliminary diagnosis of the misdiagnosis rate was high.Conclusions For HFMD that is less than 5 years of age,we should improve the diagnostic accuracy,develop effective treatment as early as possible to avoid illness deteriorated and prevent deterioration.