2013～2017年珠海市手足口病流行病学特征分析  

Analysis on epidemiological characteristics of hand-foot-and-mouth disease in 2013-2017 in Zhuhai

作　　者：周传恩[1] 熊寿贵[1] 李德云[2] ZHOU Chuan-en;XIONG Shou-gui;LI De-yun(Department of Pediatric Hematology and Gastroenterology,Maternity and Child Health Care Hospital of Zhuhai City in Guangdong Provinee,Zhuhai 519000,China;Center for Disease Prevention and Control of Zhuhai City in Guangdong Provinee,Zhihai 519060,China)

机构地区：[1]广东省珠海市妇幼保健院小儿血液消化内科,广东珠海519000 [2]广东省珠海市疾病预防控制中心,广东珠海519060

出　　处：《中国当代医药》2018年第11期154-157,共4页China Modern Medicine

基　　金：广东省省级科技计划项目(农村科技领域)(2015A020210033)

摘　　要：目的了解珠海市手足口病流行病学特征,为制订预防控制策略提供科学依据。方法对2013~2017年珠海市手足口病发病情况进行流行病学特征分析和病原学监测。结果 2013~2017年珠海市共报告手足口病69 656例,年均报告发病率为860.3/10万,其中男性发病率(984.2/10万)明显高于女性(726.1/10万),男女发病性别比为1.4︰1(P<0.05);0~4、>4~9、>9岁的发病构成比分别为87.0%、11.0%、2.0%,0~4岁儿童发病构成比显著高于其他年龄组(P<0.05);不同职业分布中,5年间散居儿童发病构成比(69.5%)显著高于托幼儿童(26.0%)、学生(3.8%)和其他人群(0.8%),显示发病人群主要以散居儿童为主(P<0.05)。2013~2017年各年度发病率分别为852.8/10万、942.1/10万、900.3/10万、747.0/10万、861.7/10万,基本呈现逐年下降趋势(P<0.05),各年度5~7月为发病高峰。香洲区、斗门区、金湾区5年平均发病率分别为934.0/10万、756.7/10万、764.0/10万,香洲区显著高于其他两个行政区(P<0.05)。病原学监测结果显示,肠道病毒EV71型和Cox A16型感染分别占33.4%、21.6%。结论珠海市手足口病发生有明显的季节、年龄、地区等特征,注意根据季节变换和气候特点做好手足口病的预防宣传工作,注重社区和托幼机构5岁以下儿童的预防保健,加强高发地区的防治工作。Objective To understand the epidemiological characteristic of hand-foot-and-mouth disease（HFMD） in Zhuhai and to provide scientific evidence for prevention and control strategies.Methods Based on the incidence of HFMD in 2013-2017 in Zhuhai,its epidemiological characteristic and pathogenic monitoring were analyzed.Results A total of 69 656 cases of HFMD were reported in 2013-2017 in Zhuhai,and the annual average incidence rate was 860.3/100 000,of which the incidence rate（984.2/100 000） in males was significantly higher than that in females（726.1/100000）,and the ratio of males to females was 1.4︰1（P〈0.05）.The incidence of children in 0-4 years old was significantly higher than that in other age groups（P〈0.05）,the incidence ratio of the groups at 0-4 years old,〉4-9 years old and 〉9 years old were 87.0%,11.0% and 2.0%,respectively.Different professional distribution of scattered children in five years the proportion（69.5%） was significantly higher than that of children at kindergartens（26.0%）,students（3.8%）,and others（0.8%）,showed that occur among mainly scattered children（P〈0.05）.In 2013-2017,the annual incidence rate of HFMD in Zhuhai decreased year by year（P〈0.05）,which was 852.8/100 000,942.1/100 000,900.3/100 000,747.0/100 000 and861.7/100 000,respectively,and the annual incidence peak appeared from May to July.The average incidence of five years in Xiangzhou district was significantly higher than that of Doumen and Jinwan districts（P〈0.05）,their average incidence was 934.0/100 000,756.7/100 000 and 764.0/100,000,respectively.The result from pathogenic monitoring showed that the enterovirus EV71 and Cox A16 infections accounted for 33.4% and 21.6% respectively.Conclusion The incidence of HFMD in Zhuhai shows obvious characteristics of season,age and region,therefore,prevention propaganda work should be carried out according to seasonal change and climate characteristics,and more attentions should be paid to the preventive health care on children u

关 键 词：手足口病 流行病学 特征 分析 

分 类 号：R512.39[医药卫生—内科学]