保定市2009-2014年手足口病流行病学特征分析  

Analysis on the epidemiological characteristics of hand-foot-mouth disease in Baoding City 2009 to 2014

作　　者：王磊[1] 王春艳[1] 陈妍[1] 祖文刚[1] 崔丽丽[1] 于志国[1] 

机构地区：[1]保定市疾病预防控制中心,河北071000

出　　处：《医学动物防制》2016年第7期731-734,共4页Journal of Medical Pest Control

基　　金：河北省卫生计生委2015年度河北省卫生厅医学科学研究重点课题(20150407)

摘　　要：目的分析2009-2014年保定市手足口病流行特征,查找高发原因,为制定手足口病防控措施提供科学依据。方法对保定市2009-2014年以来的手足口病疫情流行趋势及病原学检测结果进行描述性分析。结果 2009-2014年保定市报告手足口病病例分别为13 059例、15 788例、12 017例、14 648例、12 816例、17 315例,以一年低一年高的方式循环,发病率呈现类似趋势。病例主要集中在中东部地区,流行高峰集中在4~8月,2014年11月出现翘尾。发病人群以5岁及以下幼儿为主,职业以散居儿童和幼托儿童为主。保定市手足口病的主要病原体从以往的EV71占绝对优势,转变为近几年的EV 71与Cox A16或其他肠道病毒构成比相当的流行态势,2014年Cox A16增高幅度最大。重症病例减少显著,病原构成以EV 71为主,达81.17%。结论保定市手足口病近几年一直保持高发态势,主导毒株交替出现。应加强流行病学及病原学监测,同时做好4~8月中东部散居儿童和幼托儿童的手足口病防控工作。Objective To analyze the epidemiological characteristics of hand - foot - mouth disease （HFMD） in Baoding city in recent years, and provide scientific evidence for the prevention and control. Methods Descriptive epidemiological analysis and the results of the pathogen detection were conducted on the epidemic trend of HFMD disease from 2009 to 2014. Results From 2009 to 2014, the number of reported cases in Baoding was 13 059, 15 788, 12 017, 14 648, 12 816, 17 315, cycling of a high year after a low year, with a similar trend in incidence. Cases are mainly concentrated in the eastern part of the region. The epidemic peak is concentrated from April to August, and the end of November 2014 appearing a warped tail The cases were mainly children under 5 years, and scattered children and preschool children. The main pathogens of HFMD in Baoding city from the past, EV 71 accounted for absolute advantage, change into EV 71 in recent years, Cox A16 and other intestinal viruses constitute a more popular trend, 2014 Cox A16 increased by the largest. Severe cases decreased significantly, and the pathogen was EV 71, which reached 81.17%. Conclusion Baoding of HFMD in recent years has high epidemic trend, the predominant strains appear alternately, with the advantage of Cox A16 in 2014. Control and prevention measures need to be enhanced during April to August yearly, focusing on the scattered children and preschool children under 5 years.

关 键 词：手足口病 流行病学 监测 

分 类 号：R512.5[医药卫生—内科学]