2010-2017年彭州市手足口病流行特征分析  

The Epidemic Characteristics of Hand-foot-mouth Disease in Pengzhou From 2010 to 2017

作　　者：李娜[1] 刘师宏 罗国金[1] 伍霞[1] LI Na;LIU Shihong;LUO Guojin;WU Xia(Pengzhou Center for Disease Control and Prevention,Chengdu 611930,Sichuan Province,China)

机构地区：[1]彭州市疾病预防控制中心,四川彭州611930

出　　处：《预防医学情报杂志》2019年第2期147-152,共6页Journal of Preventive Medicine Information

摘　　要：目的分析2010-2017年彭州市手足口病流行特征,为制订防控措施提供科学依据。方法采用描述性流行病学方法对2010-2017年彭州市手足口病疫情报告资料进行统计分析。结果 2010-2017年彭州市共报告发生手足口病5 974例,年报告发病率为69. 16/10万～139. 23/10万,重症80例,重症率为1. 34%,只2014年死亡1例,死亡率为0. 13/10万。报告病例以≤5岁儿童为主,占病例总数的97. 89%; 2岁组发病率(3 971. 54/10万)最高;男性报告发病率高于女性。2014年以后,每年发现两个发病高峰,分别在3-6月和11月。重症病例以1～2岁儿童为主;男童高发;散居儿童占72. 50%; 41例实验室诊断重症病例检测结果显示EV71∶Cox A16∶其他肠道病毒比例为1∶0. 11∶1. 17。210例手足口病普通病例标本实验室检测结果阳性,2013-2017年不同类型病原构成比差异有统计学意义(χ~2=42. 889,P <0. 01)。结论彭州市手足口病发病季节、地区及人群分布特征较明显,1～2岁散居男童较易发生重症病例,应继续增强病原学监测能力,并坚持做好监测。Objective To analyze the epidemic characteristics of hand-foot-mouth disease( HFMD) in Pengzhou from 2010 to 2017. Methods The descriptive epidemiological method was used to analyze the data of HFMD reported in Pengzhou from 2010 to 2017. Results A total of 5 974 cases of HFMD were reported with the annual incidence rate of 69. 16/105 to 139. 23/105,including 80 severe cases and 1 death in 2014. Patients, who were younger than 5-year-old, took the majority of HFMD and accounted for 97. 89 % of the total cases. Among all patients,2-year-old presented the highest incidence( 3 971. 54/105). The reported incidence for male was higher than that for female. Since2014,there were two semiannual peaks in the March to June and the November. The severe cases were mainly children aged 1 to 2-year-old,mainly among scattered children accounted for 72. 50 %,and boys were with higher incidence. The 41 cases of laboratory diagnosis of severe cases showed that the ratio of EV71 : CoxA16 : other enterovirus was 1 ∶ 0. 11 ∶ 1. 17. The laboratory test results of 210 mild cases were positive. The constituent ratios of different types of pathogens were statistically significant from 2013 to 2017( χ~2= 42. 889,P < 0. 01). Conclusion The incidence of HFMD showed obvious characteristics in seasonality, area and population in Pengzhou. The 1 ~ 2 scattered year-old boys were more vulnerable to be suffered from HFMD and more likely to develop severe cases. The ability to monitor the pathogens and the case monitoring should be continuously strengthened.

关 键 词：手足口病 流行特征 监测 

分 类 号：R181.3[医药卫生—流行病学] R512.5[医药卫生—公共卫生与预防医学]