2008—2014年武威市手足口病流行病学分析及预防控制策略探讨  

Analysis of epidemiological characters of hand-foot-mouth disease and prevention strategy in Wuwei from 2008 to 2014

作　　者：宣昊[1] 李兴斌[1] 陈燕 梁莹 张宏山[1] 吴玉瑕 李秀梅[1] 李斌[1] 

机构地区：[1]甘肃省武威市疾病预防控制中心,甘肃武威733000 [2]甘肃省武威市人民医院,甘肃武威733000 [3]甘肃省武威肿瘤医院,甘肃武威733000

出　　处：《疾病预防控制通报》2016年第2期27-29,47,共4页Bulletin of Disease Control & Prevention(China)

基　　金：武威市科技计划项目(WW140203)

摘　　要：目的分析2008—2014年甘肃省武威市手足口病流行病学特征,为其预防控制提供依据。方法采用描述流行病学方法分析2008—2014年武威市法定传染病监测系统中报告的手足口病数据,了解发病情况及流行病学特征。结果 2008—2014年武威市共报告手足口病6 315例,死亡2例,年均发病率和死亡率分别为48.14/10万和0.15/10万,不同年份发病率差异有统计学意义（χ2=109.07,P〈0.05）;手足口病全年各月均有病例发生,6、7月发病率分别为86.68/10万和85.77/10万,1月和2月发病率分别为1.66/10万和1.12/10万,差异有统计学意义（χ2=1 520.75,P〈0.05）;各区（县）年均发病率由高到低依次为凉州区58.63/10万、古浪县54.07/10万、天祝县38.35/10万、民勤县16.15/10万,差异有统计学意义（χ2=701.63,P〈0.05）;男女发病比为1.78∶1,差异有统计学意义（χ2=186.90,P〈0.05）;手足口病以1~5岁儿童高发,占全部报告病例数的85.07%,各年龄组发病率差异有统计学意义（χ2=373.80,P〈0.05）;散居儿童（62.66%）、托幼儿童（27.74%）和学生（8.27%）发病率较高,差异有统计学意义（χ2=61.88,P〈0.05）。结论武威市手足口病发病具有明显的年龄和地区差异,应进一步加强重点人群、重点地区的防控工作。Objective To analyze the epidemiological characters of hand-foot-mouth disease in Wuwei from 2008 to 2014,and provide basis for its prevention and control. Methods The reported hand-foot-mouth disease in the legal infectious disease surveillance system in Wuwei from 2008 to 2014 was analyzed using descriptive epidemiological method, and the incidence and epidemiological characteristics were gotten. Results Totally 6 315 cases of hand-foot-mouth disease were reported in Wuwei from 2008 to 2014 while there was 2 cases died, with average annual morbidity and mortality of 48.14/100 000 and 0.15/100 000. There was statistical difference in incidence among years（χ2=109.07, P〈0.05）. The cases occurred in every month, and were more in June and July（incidence of 86.68/100 000 and 85.77/100 000, respectively） while less in January and February（incidence of 1.66/100 000 and 1.12/100 000, respectively）, with statistical difference（χ2=1 520.75, P〈0.05）. The report incidence in every county from high to low was Liangzhou district 58.63/100 000, Gulang county 54.07/100 000,Tianzhu county 38.35/100 000, and Minqin county 16.15/100 000. There was statistical difference in the incidence among the district and counties（χ2=701.63, P〈0.05）. The proportion of male and female was 1.78∶1, with statistical difference（χ2=186.90, P〈0.05）. From 2008 to 2014, the reported cases were mainly in children of 1 to 5 year-old, accounting for 85.07% of the total reported cases. The difference in the incidence was statistically significant（χ2=373.80, P〈0.05）. The top three of occupational constitute was followed by scattered children（62.66%）, preschool children（27.74%） and students（8.27%）, with statistical difference（χ2=61.88, P〈0.05）. Conclusions Hand-foot-mouth disease is significantly different in the age and region in Wuwei city. Prevention and control work should be further strengthened in key groups and areas.

关 键 词：手足口病 流行病学特征 发病率 

分 类 号：R512.5[医药卫生—内科学] R181.81[医药卫生—临床医学]