2016年四川省手足口重症病例流行特征分析

Analysis of Epidemiological Characteristics of Severe Cases of Hand-foot-mouth Disease in Sichuan Province in 2016

目的探讨手足口重症病例流行特征,为制定防控措施提供依据。方法收集2016年四川省手足口重症病例的资料,采用Epi Data数据库进行数据录入,利用Excel 2007软件进行统计学分析。结果 2016年,四川省共报告手足口重症病例710例,重症病例数最多的市(州)是成都市,占66.71%;5-7月为发病高峰;病例男女性别比为1.76∶1,3岁以下幼儿占88.59%,职业以散居儿童为主(67.32%)。实验室检测结果阳性以EV71为主(42.89%),EV71构成比高峰为5-7月。基层医疗机构(乡镇、社区医院或个体诊所)诊断手足口病正确率为32.54%。结论 5-7月应加强手足口病重症病例的救治和防控工作,加强对基层医务人员手足口病知识的培训。

Objective To understand the epidemiological characteristics of severe cases of hand-foot-mouth disease（ HFMD） in Sichuan Province in 2016 so as to provide scientific reference for developing prevention and control measures. Methods The epidemiological data were collected in 2016 and inputted in Epidata. The epidemiological characteristics were analyzed by Excel 2007. Results A total of 710 severe HFMD were reported in Sichuan Province in 2016. The most severe cases were distributed in May to July,Chengdu City,male and scattered children in age below 3 years. The correct diagnosis rate in township or community hospital and clinics was 32. 54%. EV71 infection accounted for the most proportion in severe HFMD,reaching up to42. 89%. The peak of EV71 proportion distributed in May to July. Conclusion Control and prevention measures need to be enhanced during May to July yearly. Training of doctors in clinics,township hospitals and community hospitals should be enhanced.