2023年北京市某医院成人手足口病患病情况分析  

Analysis of the Prevalence of Hand,Foot and Mouth Disease in Adults in a Hospital in Beijing in 2023

作　　者：吴迪 WU Di(Department of Dermatology,Beijing Sijiqing Hospital,Beijing 100097,China)

机构地区：[1]北京四季青医院皮肤科,北京100097

出　　处：《中国卫生标准管理》2024年第21期18-21,25,共5页China Health Standard Management

摘　　要：目的以北京市某医院为例,探讨成人手足口病患病情况。方法对北京某医院2023年1—12月诊治的29例成人手足口病患者的流行病学、临床特征进行回顾性分析。结果2023年成人手足口病发病高峰在9—10月。发病年龄集中在>30~45岁,男性多于女性,男女比例为20∶9。职业分布以商业服务、干部职员为主。大部分病例无阳性病例接触史,其临床表现多以发热为前驱表现,发病部位以手、足、口腔黏膜为主,多伴咽痛、手足部不适感。结论成人手足口病流行病学和临床特征与婴幼儿手足口病基本一致。不同之处在于大部分患者伴手足不适。临床中本病误诊率较高,早发现、早隔离、早治疗在预防手足口病流行中表现得尤为重要。Objective Taking a hospital in Beijing as example to analyze the prevalence of hand,foot and mouth disease(HFMD)in adults.Methods A retrospective analysis of epidemiology and clinical characteristics was carried out in 29 adults patients with HFMD in a Hospital in Beijing from January to December 2023.Results The incidence peak of HFMD in adults in 2023 was from September to October.The peak age of onset was between>30 to 45 years.Male affected was more than female(20∶9).The occupational distribution consisted largely of business services and official staff.Most cases had no positive contact history.Fever was a premonitory symptom of HFMD in adults.The most common skin lesions were hand,foot and mucosa of oral.Most patients had sore throat and discomfort in hand and foot.Conclusion The epidemiology and clinical characteristics of HFMD in adults were essentially in agreement with HFMD.The difference was that most HFMD in adults had discomfort in hand and foot.With the high misdiagnosis rate,the keys to prevent the spread of HFMD are early discovery,early isolation and early treatment.

关 键 词：手足口病 成人 感染 流行病学 临床特征 实验室检查 

分 类 号：R512[医药卫生—内科学]