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目的分析平顶山市手足口病普通、重症病例的临床信息及流行病学特征,为手足口病防控提供依据。方法以2009-2011年平顶山市手足口病定点收治医院的3 963例普通和重症病例为研究对象,对其基本情况、就诊信息及临床特征进行分析。结果重症病例在性别、年龄、地区、职业上差异均有统计学意义(P<0.05);普通、重症病例在首诊医院构成、首诊是否明确手足口病上差异有统计学意义(P<0.001);重症病例转诊过程相对复杂;普通病例神经系统症状发生比例低于重症病例。结论要有针对性地开展宣传教育,加强对基层首诊医生的培训,做到早发现、早诊断、早治疗。
Objective To analyze the clinical information and epidemiological characteristics of common and severe cases of hand-foot-mouth disease in Pingdingshan city, and provide the basis for prevention and control of hand-foot-mouth disease. Methods A total of 3 963 cases of common and severe cases hospitalized with hand-foot-mouth disease in Pingdingshan City during 2009-2011 were studied. The basic information, clinical information and clinical features were analyzed. Results There were significant differences in gender, age, region and occupation between severe cases and severe cases (P <0.05). There was significant difference between common and severe cases in the first hospital and the first diagnosis of HFMD (P < 0.001). The referral process of severe cases was relatively complicated. The incidence of neurological symptoms in common cases was lower than that of severe cases. Conclusion It is necessary to carry out publicity and education in a targeted manner and strengthen the training of physicians attending the first visit to the grassroots to achieve early detection, early diagnosis and early treatment.