2011年东莞市重症手足口病患者监测资料分析  

Analysis on Surveillance Data of Severe Hand-Foot-Mouth Disease,Dongguan City,2011

作　　者：张泽武[1] 卢展鹏[1] 曾耀明[1] 钟新光[1] 卢志慧[1] 

机构地区：[1]东莞市疾病预防控制中心,广东东莞523129

出　　处：《预防医学论坛》2013年第5期360-361,共2页Preventive Medicine Tribune

摘　　要：[目的]了解东莞市重症手足口病流行特征,为进一步制定防控策略提供科学依据。[方法]对东莞市2011年重症手足口病病例监测资料进行分析。[结果]2011年东莞报告手足口病病例21 877例,其中重症病例94例,占4.30‰。94例重症手足口病94例中,死亡2例,病死率为2.13%;5～7月发病的占62.77%;男性占62.77%,女性占37.23%;散居儿童占76.60%,幼托儿童占20.21%,学生占3.19%;6～11月龄的占6.38%,1～3岁的占81.91%,4～9岁的占11.70%;本地户籍的占20.21%,外地户籍的占79.79%。检测94例重症病例的肛拭子标本,肠道病毒核酸阳性率为90.43%,其中EV71病毒核酸阳性率为72.34%,其他肠道病毒核酸阳性率为13.83%,Cox A16病毒核酸阳性率为4.26%。94例重症病例中,中等热、高热的占90.43%,手足口臀3处及以上部位有皮疹的占78.72%,手足抖动的占76.60%,易惊的占60.64%,惊厥的占39.36%。[结论]东莞市2011年重症手足口病病例以1～3岁散居儿童为主,主要由EV71型病毒引起。[Objective]To analyze the epidemiological characteristics of severe hand-foot-mouth disease of Dongguan city in 2011,so as to provide basis for prevention and control measures. [Methods]Descriptive epidemiological analysis and Chi-square were conducted on the 94 severe hand-foot-mouth disease cases reported from national disease reporting information system in Dongguan city,2011. [Results]Totally,there were 94 severe hand-foot-mouth disease cases were reported in 2011,the severe rate was 4.30%, severe hand-foot-mouth disease mortality was 2.130%. 62.77 % of the cases occurred during May-July, 62.77 % of them were males, and 81.91 ~ of the cases were the children between 1-3 years old. The proportion of migrant children and scattered living kids were 79.79% and 76.60% respectively. 90.43% of the cases were laboratory -confirmed, among these cases EV71 infection rate was 72.34 %. Common symptoms of severe eases included fever, rash, tremble of hand or foot, and convulsion, [Conclusion]The children less than 3 years old are the high-risk population of severe hand-foot-mouth disease,EV71 is the major pathogen.

关 键 词：手足口病 重症病例 流行病学 病原学 

分 类 号：R512.5[医药卫生—内科学]