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目的掌握手足口病(hand-foot-and-mouth disease,HFMD)流行规律,为手足口病防控措施和策略的制定提供科学依据。方法通过国家疾病监测信息管理系统按发病日期收集邯郸市2009年1月1日-2011年12月31日报告的HFMD病例信息,用SPSS13.0统计学软件对其进行描述性流行病学分析。结果 2009-2011年邯郸市HFMD发病率为218.01/102万、122.54/10万和34.90/10万,呈连续下降趋势;同一时期不同县区发病率差异大,且顺位相对固定;男女性别比为1.70:1,男性病例数多于女性;2岁以下儿童所占比例分别为:28.67%、53.79%和59.71%,有向小年龄组集中的趋势;与此相对应,散居儿童的比例分别为88.36%、89.86%和91.39%,也存在上升趋势。结论邯郸市2008-2010年,连续三年HFMD城高流行状态,尤其以2009年为发病高峰年,2011年转入低流行状态。不同流行状态,HFMD流行曲线不同,HFMD发病率男性儿童高于女性儿童。根据HFMD的流行规律,邯郸市2012年可能呈上升趋势。
Objective To grasp the epidemic pattern of hand-foot-and-mouth disease (HFMD) and provide a scientific basis for the prevention and control measures and strategies of hand-foot-mouth disease. Methods The information of HFMD cases reported by Handan from January 1, 2009 to December 31, 2011 was collected according to the date of onset by the National Disease Surveillance Information Management System, and the descriptive epidemiological analysis was conducted using SPSS13.0 statistical software. Results The incidence rates of HFMD in Handan from 2009 to 2011 were 218.01 / 102, 122.54 / 100000 and 34.90 / 100000, respectively. The incidence rates of HFMD in different cities and counties in the same period varied greatly and their positions were relatively fixed. The sex ratio The proportion of children under 2 years old was 28.67%, 53.79% and 59.71%, respectively. There was a trend toward concentration in small age groups; in contrast, the proportion of scattered children 88.36%, 89.86% and 91.39%, there is also an upward trend. Conclusions Handan City, 2008-2010, HFMD city high prevalence for three consecutive years, especially in 2009 as the peak incidence year, 2011 into a low-prevalence state. Different epidemic states, HFMD epidemic curve is different, the incidence of HFMD male children than female children. According to the prevailing HFMD law, Handan City may be on the rise in 2012.