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目的探讨“金字塔模式”在赣州市手足口病防治中的应用效果,为该市科学防治本病提供理论依据。方法应用描述流行病学方法分析“金字塔模式”实施前后赣州市手足口病发病率、重症率、病死率。结果 2008年7月～2012年6月赣州市累计报告手足口病病例24454例,发病率为903.45/10万,重症率为629.45/10万、病死率为102.23/10万。手足口病“金字塔模式”实施后的发病率、重症率、病死率明显低于实施前,且差异有统计学意义(χ2=4.377,P﹤0.05;χ2=8.733,P﹤0.01;χ2=7.929,P﹤0.01)。结论赣州市手足口病防治在实施“金字塔模式”后,疫情得到有效控制,发病率明显下降,重症和死亡病例明显减少,成效显著,该模式具有推广应用价值。
Objective To explore the application effect of “pyramid model” in the prevention and treatment of hand, foot and mouth disease in Ganzhou City, and provide a theoretical basis for the scientific prevention and treatment of this disease in Ganzhou. Methods The epidemiological method was used to analyze the incidence, severity and mortality of hand-foot-mouth disease in Ganzhou before and after the implementation of “pyramid model”. Results From July 2008 to June 2012, a total of 24 454 HFMD cases were reported in Ganzhou City. The incidence was 903.45 / 100 000, the rate of severe disease was 629.45 / 100 000 and the case fatality rate was 102.23 / 100 000. HFMD “pyramid model” after the implementation of the incidence, severity, mortality was significantly lower than before the implementation, and the difference was statistically significant (χ2 = 4.377, P <0.05; χ2 = 8.733, P <0.01; = 7.929, P <0.01). Conclusion The prevention and treatment of hand-foot-mouth disease in Ganzhou City was effectively controlled after the implementation of the “pyramid model”, the incidence was significantly reduced, the number of severe and fatal cases was significantly reduced, and the effect was significant. This model has the promotion and application value.