南京地区2009年6733例手足口病流行病学分析  

ANALYSIS OF CLINICAL EPIDEMIOLOGICAL CHARACTERISTICS OF 6 733 CASES OF HAND-FOOT-MOUTH DISEASE IN NANJING AREA

作　　者：张中[1] 李梅[1] 刘志峰[2] 

机构地区：[1]南京医科大学附属南京儿童医院预防保健科,南京210008 [2]南京医科大学附属南京儿童医院消化科

出　　处：《现代预防医学》2011年第20期4269-4271,共3页Modern Preventive Medicine

摘　　要：[目的]了解南京地区手足口病流行病学规律,探索正确的应对措施,有效地开展预防控制工作。[方法]利用国家疾病监测网络直报信息系统中属于本区2009年1月1日～12月31日手足口病疫情信息,对本地区手足口病定点医院6733例手足口病病例进行临床流行病学分析。[结果]手足口病好发于春夏季节,4月及6月达到高峰;属于南京地区本地发病患者5024例,占74.62%;外来人口发病患者1709例,占25.38%;3岁以下儿童多见,共5322例,占79.04%,其中尤以1岁以下最为多见,共2387例,占35.45%;散居儿童发病多于幼托儿童,学龄儿童发病较少,仅占2.88%;6733例手足口病患儿中重症手足口病患儿194例,占2.88%,194例重症手足口病患儿年龄分析表明,重症病例主要发生于4岁以下,其构成比达到90.21%。[结论]手足口病是儿童常见传染病,落实各项预防措施,控制传染源;切断传播途径;及保护易感人群是控制手足口病流行的关键。应加强手足口病各项监测,进行流行病学分析,掌握流行规律,开展病毒与变异监测,及时准确地预测手足口病流行趋势。[Objective] To analyze the epidemiological and clinical characteristics of children with hand--foot--mouth disease（HFMD） in Nanjing area in 2009. [Methods] A total of 6 733 cases of hand-foot-mouth disease in Nanjing area from 1st January to 31st December in 2009 were retrospectively investigated for epidentiological information and clinic features. [Results] The prevalent peak was from April to June. 5 024 cases （74.62%） were local people, and 1 709 （25.38%） cases came from outsides Nanjing area. Most （79.04%） of the HFMD children were 3 or below 3 years old, and 2 387 （35.45%） cases were below 1 years old. Scattered inhabiting children cases （55.78%） were much more than cases from nursery and kindergarten children （41.33%）, and only 194 cases founded in school age children （2.88%）. Among all 6 733 cases, 194 cases （2.88%） were severe cases, and 175 cases （90.21%） were 4 years old or below among these severe cases. [Conclu- sion ] HFMD is a common childhood infectious diseases, the implementation of precautionary measures, control of the infection sources, cut off the route of transmission; and the protection of vulnerable populations is the key to control the epidemic of HFMD. We should strengthen the monitoring of HFMD, precede the epidemiological analysis and master the epidemiological rule, carried out the monitoring the variation of the viruS, predict trends HFMD timely and accurately.

关 键 词：手足口病 流行病学特征 预防措施 

分 类 号：R181.22[医药卫生—流行病学]