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[目的]掌握玉林市手足口病病例的病原学特点,为有效控制疫情提供科学依据。[方法]对2010～2011年玉林市手足口病病原学检测结果进行分析。[结果]2010～2011年合计检测手足口病病例标本753份,肠道病毒核酸阳性的633份,阳性检出率为84.06%。其中,2010年336份标本的阳性率为94.35%,2011年417份标本的阳性率为75.78%。2年中,EV71核酸阳性率为44.62%,CoxA16核酸阳性率为18.46%,其他肠道病毒核酸阳性率为20.98%。2010年EV71、CoxA16、其他肠道病毒核酸阳性率分别为87.74%、4.46%、7.14%,2011年EV71、CoxA16、其他肠道病毒核酸阳性率分别为13.51%、29.74%、32.13%。[结论]2010年玉林市手足口病病原主要是EV71,2011年主要为CoxA16和其他肠道病毒。
[Objective] To master the etiological characteristics of hand, foot and mouth disease cases in Yulin and provide a scientific basis for effective control of the epidemic. [Method] The etiological test results of HFMD in Yulin City from 2010 to 2011 were analyzed. [Results] A total of 753 cases of hand-foot-mouth disease were detected in 2010-2011, 633 were positive for enterovirus nucleic acid, the positive detection rate was 84.06%. Among them, the positive rate of 336 specimens was 94.35% in 2010, and the positive rate of 417 specimens in 2011 was 75.78%. In two years, the positive rate of nucleic acid of EV71 was 44.62%, the positive rate of CoxA16 was 18.46%, and the positive rate of other enterovirus nucleic acids was 20.98%. In 2010, the positive rates of EV71, CoxA16 and other enterovirus nucleic acids were 87.74%, 4.46%, 7.14%, respectively. The positive rates of EV71, CoxA16 and other enterovirus nucleic acid in 2011 were 13.51%, 29.74% and 32.13%, respectively. [Conclusion] The pathogen of hand, foot and mouth disease in Yulin in 2010 is mainly EV71, and CoxA16 and other enteroviruses are the main items in 2011.