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目的了解十堰市2012年手足口病流行特征。方法用描述流行病学方法对十堰市2012年手足口病疫情资料进行分析。结果 2012年十堰市共报告手足口病病例4 263例,报告发病率126.71/10万。报告发病率茅箭区、张湾区高于房县、竹溪县(χ2=88.004,P<0.01),房县、竹溪县高于竹山县(χ2=105.756,P<0.01),竹山县高于郧县、郧西县、丹江口市(χ2=42.822,P<0.01)。发病呈双峰型,集中在4—6和10—12月。发病集中在5岁以下年龄段,以散居儿童和幼托儿童为主。全市疫情以EV71型为优势病原型别,其中,竹山县、竹溪县以EV71型为主,茅箭区、张湾区、郧县、郧西县、房县以CoxA16型为主;丹江口市以其他肠道病毒为主。结论十堰市手足口病的流行有明显地区、季节、人群、病原特征。
Objective To understand the epidemic characteristics of HFMD in Shiyan in 2012. Methods Descriptive epidemiological methods were used to analyze the epidemic data of HFMD in Shiyan in 2012. Results A total of 4 263 HFMD cases were reported in Shiyan in 2012, with a reported incidence of 126.71 / 100 000. The incidence of the report Maojian District, Zhangwan District was higher than that of Fang County and Zhuxi County (χ2 = 88.004, P <0.01), and Fang County and Zhuxi County were higher than that of Zhushan County (χ2 = 105.756, P <0.01) Higher than Yun County, Yun Xi County, Danjiangkou City (χ2 = 42.822, P <0.01). The incidence was bimodal, concentrated in 4-6 and 10-12 months. The incidence of concentrated in the age group of 5 years of age, mainly to diaspora and kindergarten children. EV71 epidemic in the city as the predominant pathogen type, which, Zhushan County, Zhuxi County to EV71-based, Maojian District, Zhangwan District, Yun County, Yunxi County, Fang County to CoxA16-based; Danjiangkou Other enterovirus-based. Conclusion The prevalence of hand-foot-mouth disease in Shiyan has obvious regional, seasonal, population and pathogenic features.