2008-2010年山东省东营市手足口病流行特征分析  

Epidemiology of hand foot and mouth disease in Dongying city in Shandong province,2008-2010

作　　者：李静[1] 马有祥[1] 

机构地区：[1]东营市疾病预防控制中心,山东东营257091

出　　处：《疾病监测》2011年第12期955-957,共3页Disease Surveillance

摘　　要：目的了解山东省东营市手足口病的流行特征及其变化。方法采用描述流行病学方法对2008-2010年东营市手足口病疫情监测资料进行分析。结果 2008-2010年东营市共报告手足口病7191例,年均发病率为127.98/10万,无死亡病例,不同年份间发病率差异有统计学意义(P=0.000)。全市5个县(区)均出现不同程度的流行,以东营区为主。发病主要集中在5-8月,发病逐年提前,疫情流行水平大幅提升,高峰期延长。以1～3岁儿童为主,男性多于女性。发病至诊断时间间隔2天及以上者占29.97%。病原体以EV71型为主。结论东营市手足口病的发生存在明显的地区、季节、性别及年龄差异,发病逐年上升。今后应着重开展联防联控,流行季节重点防控幼托机构,加强疫情监测和宣传教育力度,做好病原学检测,防止其暴发流行。Objective To understand the epidemiological characteristics of hand foot and mouth disease（HFMD） in Dongying and explore the scientific strategies and measures for the prevention and control of HFMD.MethodsDescriptive epidemiological approaches were useed to analyze the HFMD surveillance data in Dongying from 2008 to 2010.Results A total of 7191 cases,without death,were reported during this period.The average annual incidence was 127.98/lakh.The differences on the incidences in different years were statistical significant（P=0.000）.The disease epidemic occurred in all 5 counties（district）,but the epidemic in Dongying district was most serious.The disease mainly occurred during May-August.The beginning of the epidemic shifted to an earlier data,the epidemic level increased and the incidence peak period prolonged compared with the previous year.Most cases were children aged 1-3 years.More males were affected than females.The interval between onset and diagnosis was ≥2 days for 29.97% of the cases.The major pathogen was EV71.Conclusion The incidence of HFMD had significant geographic,seasonal,sex-specific and age-specific differences and increased with years.It is necessary to conduct integrated prevention and control in child care settings where the disease is prone to occur,strengthen the disease surveillance and health education and improve the etiological detection to prevent the epidemic of HFMD.

关 键 词：手足口病 流行病学特征 防控 

分 类 号：R725.1[医药卫生—儿科] R181.3[医药卫生—临床医学]