摘要
目的分析当地儿童手足口病的三年流行病学情况,探讨其有效防控措施。方法回顾性分析2020年1月至2022年10月入我院就诊的手足口病患者临床资料,患者均为儿童,共计468例。结合所采集的儿童信息资料进行统计分析,明确该病的流行病学,探讨相关防控措施。结果2020年发病率是42.95%、2021年是35.26%、2022年是21.79%(P<0.05);男性发病率是66.67%、女性是33.33%(P<0.05);不同月份发病情况,1月、2月最低,分别是1.50%、1.28%,7月、8月最高,分别是28.63%、24.57%;不同年龄发病情况,其中0~1岁、1~2岁发病率最高,分别为18.8%、17.52%,>6岁最低,为9.19%;不同人群分布情况,散居儿童发病率最高是54.06%,其次是托幼儿童和学生,分别是33.76%、12.18%(P<0.05);不同病原体类型分布情况,Cox16发病率最高,是43.59%,其次为EV71、CoxA6,分别为28.63%、19.23%,其他肠道病毒最低,是8.55%。结论儿童手足口病的发病在性别、年龄、人口类别、发病时间、季节与病原体类型分布方面均存在着差异,较年幼、男性、散居儿童是高发群体,7月、8月是高发季节,需相关机构做好疾病防控工作,预防手足口病发病。
Objective To analyze the epidemiological situation of hand foot mouth disease(HFMD)in local children for three years and explore its effective prevention and control measures.Methods Clinical data of 468 cases of HFMD admitted to our hospital from January 2020 to October 2022 were retrospectively analyzed.All patients were children.The collected data of children were analyzed to clarify the epidemiology of the disease and discuss the relevant prevention and control measures.Results The incidence was 42.95%in 2020,35.26%in 2021 and 21.79%in 2022(P<0.05).The incidence was 66.67%in males and 33.33%in females(P<0.05).The incidence in different months was the lowest in January and February(1.50%and 1.28%,respectively),and the highest in July and August(28.63%and 24.57%,respectively).The incidence was highest at 0-1 years old and 1-2 years old(18.8%and 17.52%),and lowest at>6 years old(9.19%);According to the distribution of different populations,the incidence of scattered children was the highest(54.06%),followed by nursery children and students(33.76%and 12.18%),respectively(P<0.05).In the distribution of different pathogen types,the incidence of Cox16 was the highest(43.59%),followed by EV71 and CoxA6(28.63%and 19.23%,respectively),and other enteroviruses were the lowest(8.55%).Conclusions There are differences in the incidence of HFMD in children in terms of gender,age,population category,onset time,season and pathogen type distribution.Young,male and scattered children are the highest incidence groups,and July and August are the highest incidence seasons.Relevant institutions should do a good job in disease prevention and control to prevent HFMD.
作者
叶华贞
杨小琴
YE Huazhen;YANG Xiaoqin(Prevention and Health Care Department,Xindian Town Health Center,Jin’an District,Fuzhou City,Fujian Province,Fuzhou 350001,China;Department of Pediatrics,Jin’an District Hospital,Fuzhou City,Fujian Province,Fuzhou 350014,China)
出处
《中国医药指南》
2023年第35期14-16,共3页
Guide of China Medicine
关键词
手足口病
儿童
传染性疾病
防控措施
Hand foot mouth disease
Children
Infectious disease
Prevention and control measure
