广州增城市2011年手足口病流行病学分析  

Epidemiological investigation of hand-foot-and-mouth disease in Zengcheng,2011

作　　者：郑丽琼[1] 黎金祥 萧炯尧 唐侍豪[1] 孟晓静[1] 

机构地区：[1]南方医科大学公共卫生与热带医学学院职业卫生与职业医学,广东广州510515 [2]增城市疾病预防控制中心,广东广州511300

出　　处：《热带医学杂志》2013年第1期24-26,42,共4页Journal of Tropical Medicine

摘　　要：目的了解增城市手足口病流行病学特征和流行因素,探讨防制对策。方法对2011年国家疾病监测信息管理系统监测的2011年增城市手足口病发病情况进行流行病学的描述性分析,采用SPSS13.0软件进行统计分析。结果增城市共报告手足口病5327例,其中重症病例3例,无死亡病例;发病范围广,人口密集且流动性大的新塘镇发病率为257.77/10万,城区发病率高于农村(χ2=9.414,P<0.01);发病季节性明显,发病高峰主要集中在5-7月;发病人群主要为散居儿童,以6岁以下儿童为主(占98.89%),其中0～6岁和6～22岁两个年龄段发病率比较差异有统计学意义(P<0.01),男性发病率显著高于女性(χ2=252.186,P<0.01);检出病原体以人肠道病毒71型(EV71)为主。结论手足口病发病与年龄、季节有关,发病主要致病菌为EV71;人群的健康教育和相关的预防措施将有助于更好的预防手足口病。Objective To study the epidemiological and etiologic features of hand-foot-and-mouth disease （HFMD） in Zengeheng,Guangzhou,2011, Methods The cases of HFMD in Zengcheng 2011 were obtained from the National Disease Reporting Information System. Descriptive epidemiological method and SPSS13.0 were used for analysis. Results A total of 5 327 HFMD cases were reported, in which 3 cases were severe. There was no death case reported. The incidence of HFMD in the Xintang towns with a high population density and fluidity was higher than the other towns （χ2=9.414,P〈0.01）. There was a remarkable seasonality in the disease incidence, and the peak season was May to July. The incidence of HFMD in children under 6 years old was significantly higher than tthe other age group （χ2= 31004.069,P〈0.01）. The incidence rate in male was significantly higher than the female （χ2=252.186,P〈0.01）. Human enterovirus type 71 （EVT1） was the major cause of HFMD. Conclusions The incidence of HFMD is correlated with age and season. EV71 is the main pathogen causing HFMD. Effective health education and isolation of the patients are critical for prevention and therapy.

关 键 词：手足口病 肠道病毒71型 发病率 

分 类 号：R512.5[医药卫生—内科学]