学龄前儿童手足口病流行病学特征及影响因素分析  

Analysis of epidemiological characteristics and influencing factors of hand-foot-mouth disease in preschool children

作　　者：聂小红[1] NIE Xiaohong(Department of Pediatrics,People's Hospital of Macheng City,Huanggang,Hubei 438300,China)

机构地区：[1]麻城市人民医院儿科,湖北黄冈438300

出　　处：《医药前沿》2025年第5期143-146,共4页Journal of Frontiers of Medicine

摘　　要：目的分析学龄前儿童手足口病的流行病学特征及影响因素。方法回顾性分析2022年6月—2023年6月麻城市人民医院收治的53例学龄前手足口病患儿临床资料,将其纳入手足口病组,并选取同期麻城市人民医院进行体检的53名健康儿童纳入健康组,观察学龄前儿童手足口病流行病学特征,比较两组学龄前儿童的临床资料,采用多因素Logistic回归分析方法分析学龄前儿童手足口病的影响因素。结果53例学龄前手足口病患儿中,男29例,占比54.72%,女24例,占比45.28%;≤3岁38例,占比71.70%;夏秋季节发病32例,占比60.38%;农村地区患儿34例(64.15%),城镇患儿19例(35.85%);以EV71型手足口病最为常见,共检出31例,占比58.49%,CA16型和其他肠道病毒分别检出20例(37.74%)和2例(3.77%)。两组在年龄、居住地、卫生习惯及近1个月内手足口病接触史方面差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄≤3岁、农村居住地、不良卫生习惯、近1个月内有手足口病接触史是学龄前儿童手足口病的危险因素(P<0.05)。结论年龄≤3岁、农村居住地、不良卫生习惯、近1个月内有手足口病接触史是学龄前儿童手足口病的危险因素,需进一步加强基层医疗机构手足口病宣传和卫生教育工作,落实病例管理及隔离防控措施,提升家长卫生管理意识,培养幼儿良好卫生习惯。Objective To analyze the epidemiological characteristics and influencing factors of hand-foot-mouth disease in preschool children.Methods The clinical data of 53 preschool children with hand-foot-mouth disease admitted to People's Hospital of Macheng City from June 2022 to June 2023 were retrospectively analyzed,they were included in the hand-foot-mouth disease group,and 53 healthy children who underwent physical examination in People's Hospital of Macheng City during the same period were selected as the healthy group.The epidemiological characteristics of preschool children with hand-food-mouth disease was observed,the clinical data of two groups of preschool children were compared,multivariate Logistic regression analysis was used to analyze the influencing factors of hand-foot-mouth disease in preschool children.Results Among the 53 preschool children with hand-foot-mouth disease,29 were male,accounting for 54.72%,and 24 were female,accounting for 45.28%;38 children≤3 years old,accounting for 71.70%;there were 32 cases of hand-foot-mouth disease in summer and autumn,accounting for 60.38%of the total cases;the number of children in rural areas was 34 cases(64.15%),which was higher than that in urban areas(19 cases,35.85%);EV71 was the most common type of HFMD,with 31 cases detected,accounting for 58.49%;CA16 and other enteroviruses were detected in 20 cases(37.74%)and 2 cases(3.77%).There were statistically significant differences in age,place of residence,health habits and contact history of hand-foot-mouth disease in the past 1 month between the two groups(P<0.05).Multivariate Logistic regression analysis showed that age≤3 years old,rural residence,poor health habits,and contact history of hand-foot-mouth disease in the past month were risk factors for hand-foot-mouth disease infection in preschool children(P<0.05).Conclusions Age≤3 years old,rural residence,poor health habits,and contact history of hand-foot-mouth disease in the past month are risk factors affecting the infection of hand-foot-mouth dis

关 键 词：手足口病 流行病学 学龄前儿童 影响因素 卫生管理 

分 类 号：R373[医药卫生—病原生物学]