2010年唐山市重症手足口病流行特征分析  

Analysis of epidemic characteristics of severe hand-foot-mouth disease in Tangshan in 2010

作　　者：高庆华[1] 刘雅馨[2] 张志坤[1] 项东[1] 张绍文[1] 何金奎[1] 刘丹[1] 

机构地区：[1]唐山市疾病预防控制中心,河北063000 [2]唐山职业技术学院

出　　处：《医学动物防制》2011年第3期250-251,共2页Journal of Medical Pest Control

摘　　要：目的了解2010年唐山市重症手足口病流行病学特征以及病原学分类,为更好地防控手足口病的发生提供参考。方法收集法定传染病报告系统报告数据,采用病例个案调查和现场调查的方法分析手足口病的流行病学特征。结果 2010年我市共报告手足口病例5 519人,报告发病率为75.6/100 000,比去年降低了35.57%。我市所有县区均有病例报道,农村与城市发病率相差不大。根据资料显示,手足口病重症病例为81例,占总病例的1.47%,其中有76名是经实验室确诊。在这76名病例中,43例为EV71感染;3例为CoxA16;30例是其他肠道病毒。结论 EV71感染导致重症的病例远远高于CoxA16和其他肠道病毒(P<0.05)。因此。我们应该特别关注EV71感染的病例,从而有效地防控手足口病。Objective To understand the epidemic characteristics and etiological classification of severe hand-foot-mouth disease（HFMD） in Tangshan at 2010 and in order to prevention and control the disease effectively.Method Using case survey and field surveys methods to analyze the epidemic characteristics of severe HFMD,and the data offered by notifiable diseases reporting system.Results Total 5 519 cases of HFMD were reported in 2010,reported incidence rate was 7.56/100 000 and 35.57% lower than last year.All districts and counties had reported the disease;the incidence rate of urban area was almost equal to counties.Based on the epidemic report,there were 81 severe HFMD cases,accounted for 1.47%,and 76 were diagnosed in laboratory,among them,43 cases were EV71,3 cases were CoxA16,and 30 cases were other enterovirus.Conclusions The severe hand-foot-mouth disease cases which infected by EV71 were obviously more than infected by CoxA16 and other enterovirus,for this reason we must pay more attention to EV71 infection cases in the future,in this way,prevention and control HFMD prevalence and outbreak effectively.

关 键 词：手足口病 流行 防控 

分 类 号：R512.5[医药卫生—内科学]