北京市大兴区91例重症手足口病例特征分析  

Clinical manifestation and epidemiological feature of 91 severe hand-foot-mouth disease cases in Daxing district of Beijing

作　　者：陈合 陈达廷[2] 刘海博[2] 吴波峰[2] 石春兰[2] 侯文平[2] 李欣欣[2] 米桌 

机构地区：[1]北京市大兴区礼贤镇中心卫生院,102604 [2]北京市大兴区疾病预防控制中心

出　　处：《首都公共卫生》2016年第1期21-24,共4页Capital Journal of Public Health

摘　　要：目的分析重症手足口病病例的临床及流行病学特征,为制定防制对策和措施提供科学依据。方法采用描述流行病学方法对2011-2013年北京市大兴区91例重症手足口病病例监测资料进行统计学分析,总结病例特征。结果 91例病例中发病年龄:<3岁的占73.63%;年龄最小4个月,最大6岁零3个月;男女性别比为1.17∶1。63例合并有脑炎、肺炎、心肌炎等临床并发症。患者有26例为实验室诊断,其中肠道病毒EV71型核酸阳性的9例,CoxA 16型核酸阳性的10例,其它肠道病毒核酸阳性的7例。结论重症患儿是手足口病预防工作中的重点关注对象,应继续开展病原学监测工作,同时保证重症病例的早期识别,降低传染病的危害。Objective To analyze the clinical and epidemiological features of severe hand-foot-mouth disease（ HFMD）cases,and provide scientific basis for adjusting prevention and control measures. Methods Descriptive epidemiological method was conducted on data of 91 severe HFMD surveillance cases in Daxing district,Beijing during 2011- 2013. Results 73. 63% of the cases were 〈3 years old. The youngest one was four months,the oldest one was six and a quarter years old. The ratio for male and female was 1. 17∶ 1. 26 cases were confirmed by laboratory testing,including 9 cases of type EV71 DNA-positive,10 cases of type CoxA 16 DNA-positive,7 cases of other enterovirus DNA-positve. Conclusion Severe cases are high risk population of HFMD. We should continue to carry out pathogenic surveillance. Early identification of severe cases is the key measure to reduce the harms of infectious diseases.

关 键 词：手足口病 重症 流行病学 

分 类 号：R512.5[医药卫生—内科学]