2009-2013年重庆市北碚区手足口病疫情及病原学分析  

Epidemiological and Pathogenic Characteristics of Hand-foot-mouth Disease in Beibei District of Chongqing,2009-2013

作　　者：袁海艳[1] 谭兴兰[1] 

机构地区：[1]重庆市北碚区疾病预防控制中心,重庆400700

出　　处：《预防医学情报杂志》2015年第7期511-513,共3页Journal of Preventive Medicine Information

摘　　要：目的了解重庆市北碚区2009-2013年手足口病的流行病学特点及病原学特征,为预防和控制手足口病提供参考依据。方法采用描述流行病学方法对北碚区2009-2013年手足口病疫情资料进行分析。结果北碚区2009-2013年共报告手足口病4 441例,年均发病率为136.07/10万;街道发病率为169.87/10万,乡镇发病率为108.40/10万,城乡发病率差异有统计学意义（χ2=224.63,P〈0.01）;1年出现2次高峰,分别是4∽6月和10∽12月;人群主要集中5岁以下儿童占病例总数的95.61%,职业以散居儿童为主,占病例总数的51.97%;男性年均发病率150.73/10万,女性年均发病率120.97/10万,男女发病率差异有统计学意义（χ2=53.20,P〈0.01）。病原学监测显示,EV71占42.03%,Cox-A16占27.46%,其他肠道病毒占30.51%。结论 2009-2013年重庆市北碚区手足口病发病率街道高于乡镇,男性高于女性,发病时间集中在4∽6月和10∽12月,人群集中在5岁以下散居儿童。Objective To analyze the epidemiological characteristics,pathogenic serotype of hand- foot- mouth disease（ HFMD） in Beibei,and provide scientific evidence for the prevention and control of this disease.Methods The descriptive epidemiological analysis was conducted on the epidemic data of HFMD in Beibei during 2009- 2013. Results A total of 4441 HFMD cases were reported during the period. The average annual incidence rate was 136. 07 /105. The street incidence（ 169. 87 /105） was higher than that of villages and towns（108. 40 /105）（χ2= 224. 63,P 0. 01）. The peak season was from April to June and from October to December. The highest incidence occurred in the children under 5 years old,accounting for 95. 61% of the total cases. Among the children cases, the proportion of the scattered children took the most proportion（51. 97%）. The incidence was higher in the male（150. 73 /105） than that in female（120. 97 /105）（χ2=53. 20,P 0. 01）. Of all the cases those infected by EV- 71 took 42. 03%,Cox- A16 took 27. 46% and other types took 30. 51% as a whole. Conclusion The incidence of HFMD in street is higher than that of towns and villages; the incidence in male is higher than that in female. The high incidence season is in April to June and October to December. Children under 5 years old are the vulnerable population.

关 键 词：手足口病 流行特征 病原学 

分 类 号：R512.5[医药卫生—内科学]