2012-2015年泰安市手足口病流行特征及干预措施  

Epidemiological characteristics and intervention measures of hand foot mouth disease in Tai'an city during 2012-2015

作　　者：朱兆霞[1] 孙颖慧[1] 辛英[1] 张中臣 Zhu Zhaoxia;Sun Yinghui;Xin Ying;Zhang Zhongchen(The Eighty-Eighth Hospital of PLA(Tai'an City,Shandong Province)271000)

机构地区：[1]解放军第88医院,山东泰安271000

出　　处：《中国社区医师》2017年第10期158-159,161,共3页Chinese Community Doctors

摘　　要：目的:了解泰安市手足口病流行病学特点,探索正确的应对措施。方法:对泰安市2012-2015年中国疾病预防控制系统中报告的2 935例手足口病病例进行流行病学分析。结果:2012-2015年报告2 935例手足口病病例(其中重症43例),各年报告发病数分别为585例、692例、780例和878例,发病水平及疫情严峻性逐年升高,男性多于女性,手足口病发病时间具有季节性波动特点。发病病例主要集中在0~5岁儿童,乡镇儿童占72%,城区儿童占28%。手足口病的主要病原体为EV71型和Cox A16型,实验室诊断的1 966例病例中,EV71感染743例(37.8%),COXA16型640例(32.6%),其他肠道病毒感染583例(29.7%)。结论:2012-2015年泰安市手足口病报告发病数呈上升趋势,5岁以下的幼儿,尤其是乡镇街道散居儿童是手足口病发病的主要对象,同时应重点加强托幼机构、学校及人员流动性大且人口密集地区的手足口病卫生知识宣传教育及防控工作。Objective:To understand the epidemiological characteristics of hand foot mouth disease in Tai'an city,and to explore the correct measures.Methods:2 935 cases of hand foot mouth disease in Tai'an city during 2012-2015 were given epidemiological analysis through China disease prevention and control system.Results:2 935 cases of hand foot mouth disease were reported in 2012-2015(43 cases of moderate severe),and the numbers of cases reported each year were respectively 585 cases,692 cases,780 cases and 878 cases.The incidence level and epidemic severity increased year by year;the males were more than females;the onset time of hand foot mouth disease had seasonal fluctuation characteristics.The disease cases were mainly concentrated in 0 to 5 years old children;the children in villages and towns accounted for 72%;the urban children accounted for 28%.The main pathogen of hand foot mouth disease were EV71 type and CoxA16 type.In the laboratory diagnosis of 1 966 cases,743 cases(37.8%) were EV71 infection;640 cases(32.6% ) were COXA16 type;583 cases(29.7% ) were other enterovirus infection.Conclusion:Hand foot mouth disease report incidence number in Tai'an city during 2012-2015 is on the rise.Infants under 5 years old,especially township streets scattered children are the main objects of hand foot mouth disease.At the same time,we should focus on strengthening the health knowledge education and prevention and control work of hand foot mouth disease of kindergartens,schools,personnel mobility and densely populated areas.

关 键 词：手足口病 流行病学 干预措施 

分 类 号：R725.1[医药卫生—儿科] R181.3[医药卫生—临床医学]