2009～2015年沈阳市手足口病流行特征分析

Analysis on the epidemiological characteristics of hand-foot-mouth disease,Shenyang city,2009-2015

目的掌握沈阳市手足口病发病强度和流行特征。方法利用描述流行病学对沈阳市疾病监测信息管理报告系统的手足口病疫情资料进行分析。结果 2009~2015年手足口病报告发病共53 757例,年均报告发病率为96.53/10万,2009~2015年报告发病数分别为7 499、7 234、4 934、9 069、8 663、9 551、6 807例,报告发病率分别为101.31/10万、97.73/10万、60.87/10万、111.16/10万、106.04/10万、116.10/10万、82.73/10万,各年度报告发病率差异有统计学意义(P<0.01);男性发病率(113.39/10万,31 957例)高于女性发病率(79.25/10万,21 800例)(P<0.01);EV71型、Cox A16型、其他肠道病毒分别占实验室诊断病例的31.11%、35.69%、33.20%;6~8月报告发病数占全年报告发病数的76.99%;散居儿童、幼托儿童报告手足口病病例数分别占全部报告发病数的50.73%(27 270例)、43.12%(23 181例);0~5岁年龄组报告发病数占发病总数90.30%(48 540例)。结论 2009~2015年沈阳市手足口病呈典型的夏季发病高峰;散居儿童、幼托儿童发病为主。

Objective To understand the incidence and epidemiological characteristics of hand-foot-mouth disease （HFMD） in Shenyang city. Methods Descriptive epidemiological method was used to analyze the epidemic data of HFMD from Shenyang disease surveillance information management reporting system in Shenyang city. Results During 2009-2015,a total of 53 757 cases of HFMD were reported,with an average annual incidence of 96.53/105 ;From 2009 to 2015,the number of reported cases of HFMD were respectively 7 499 cases,7 234 cases,4 934 cases,9 069cases,8 663 cases,9 551 cases,6 807 cases,the reported incidence rate was 101.31/10^5 ,97.73/10^5 ,60.87/10^5 ,111.16/10^5 ,106.04/10^5 , 116.10/10^5 ,and 82.73/10^5 ,There was a significant difference in the incidence of each annual report （ P 〈0.01）. The incidence rate ofmales（113.39/10^5,n=31957）washigher than that of females（79.25/10^%,n =21 800）（P〈0. 01）. EV71 virus, Cox A16 virus and other enteroviruses accounted for 31.11%, 35.69 %, 33.20 %, respectively. From June to August,the number of reported cases accounted for about 76.99% of the annual report. The HFMD reported cases of scattered children and childcare children were 50.73% （n=27 270） and 43.12%（n=23 181）,respectively. 0-5 years old age group reported the incidence of the disease accounted for the total number of 90.30%（n=48 540）. Conclusion There is a typical peak in summer of hand foot-mouth disease in Shenyang city from 2009 to 2015 ;The incidence of handfoot-mouth disease is mainly amang scattered children and childcare children.