温州某医院2010-2016年儿童感染病门诊疾病谱  

Spectrum of outpatient disease change in pediatric infectious disease department of a hospital in Wenzhou during 2010 and 2016

作　　者：钟佩佩[1] 张津 狄军波[1] 石海矾[1] 陈益平[1] Zhong Peipei;Zhang Jin;Di Junbo;Shi Haifan;Chen Yiping(Department of Infectious Disease, Yu Ying Children＇s Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang, Chin)

机构地区：[1]温州医科大学附属育英儿童医院儿童感染科,浙江温州325027

出　　处：《国际流行病学传染病学杂志》2018年第3期187-191,共5页International Journal of Epidemiology and Infectious Disease

基　　金：温州市科技计划（Y20160018）

摘　　要：目的了解近年来温州地区儿童传染病疾病谱及流行病学特征。方法收集2010-2016年温州医科大学附属育英儿童医院感染科的门诊病例资料，对患儿的年龄、性别、病种以及就诊时间进行回顾性横断面分析。结果2010-2016年我院儿童感染年门诊量总体呈下降趋势。前5位病种分别为手足口病、肠炎、水痘、流行性腮腺炎、HBV血症。前两者多发于〈3岁的婴幼儿，后三者好发于5-18岁的学龄期儿童。手足口病2014年4-6及9-10月双峰流行，余每年夏季单峰流行。肠炎全年散发，部分年份夏秋季流行。流行性腮腺炎2012年起逐年递减。水痘夏、冬季高发，就诊人数变化不大。HBV血症除2015年外呈下降趋势，就诊高峰在寒暑假，乙型肝炎没有明显流行特征。麻疹病例除2011年外总体呈下降趋势。每年均有猩红热病例散发。细菌性痢疾、风疹、流行性脑膜脑炎、流行性乙型脑炎病例均少见。结论近年来温州地区儿童传染病以手足口病和肠炎为主，传统的传染病减少，各疾病具有明显好发年龄及时间。应加强对手足口病和肠炎的防控。麻疹仍未消除，应加强麻疹疫苗的接种。Objective To investigate the spectrum and epidemiology of pediatric infectious diseases in recent years in Wenzhou. Methods The data of outpatients admitted to infectious disease department of Yu Ying Children＇ s Hospital of Wenzhou Medical University from 2010 to 2016 were collected, and age, gender, entity and clinic time were analyzed retrospectively. Results The number of children visited infectious disease department was generally declining during 2010 and 2016. The top 5 diseases were hand-foot and mouth disease, enteritis, chicken pox, parotitis and hepatitis B virus infection. The former two diseases used to occur in infants 〈 3 years old, while the later three diseases used to occur in school age children from 5 to 18 years old. The incidence curve for hand- foot and mouth disease was bimodal popular in April to June and September to October in 2014, and unimodal popular in the summers of other years. Enter/tis distributed throughout the year with summer-antumn peaks in some years. Parotitis decreased significantly in 2012 and has a decreasing trend year by year. Chicken pox was prevalent in summer and winter with general stable cases. The number of children with hepatitis B infection generally showed a declining trend except a small bounce in 2015, and clinic peaks were mainly concentrated in summer and winter vacation every year. Visits due to hepatitis B showed no obvious seasonal feature. In addition to the 2011 pandemic, measles cases were declining as a whole. Scarlet fever had sporadic cases every year. Bacillary dysentery, rubella, epidemic meningoencephalitis, epidemic encephalitis B cases were rare. Conclusions In recent years, children＇s infectious diseases are mainly composed of hand-foot and mouth disease and enteritis. Incidence of traditionalinfectious diseases are reduce. Diseases have their own predilection age and season. We should strengthen the prevention and control of hand-foot and mouth disease and enteritis. Measles still haven＇t been eliminated, and measles vaccination sh

关 键 词：儿童 传染病 流行病学 

分 类 号：R725.1[医药卫生—儿科]