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[目的]了解手足口病发病特征及流行趋势,为制订防制策略提供科学依据。[方法]应用描述流行病学方法对济南市2005~2008年手足口病监测资料进行分析。[结果]2005~2008年济南市手足口病报告发病9 910例,年均发病率40.67/10万。不同年份间发病率的差异有统计学意义(P<0.01)。市区平均发病率73.35/10万,郊区(县)平均发病率22.47/10万,市区高于郊区(县),差异有统计学意义(P<0.01)。男性发病率为49.59/10万,女性发病率为31.57/10万,差异有统计学意义(P<0.01)。男女之比为1.61∶1。5岁以下年龄组发病最多7 941例,占80.13%;职业分布中以散居儿童(5 136例)、幼托儿童(4 191例)发病较多,分别占51.83%、42.29%。5~7月为高发季节,占全年发病的80.93%。[结论]手足口病是我市重点防控的传染病,应加强疫情监测和控制,防止其暴发流行。
[Objective] To understand the incidence and epidemic trend of HFMD and provide a scientific basis for formulating prevention and control strategies. [Methods] The descriptive epidemiological method was used to analyze the hand-foot-mouth disease surveillance data from 2005 to 2008 in Jinan City. [Results] A total of 9 910 HFMD cases were reported in Jinan from 2005 to 2008, with an average annual incidence of 40.67 / 100 000. The incidence of different years was statistically significant (P <0.01). The average incidence of urban areas was 73.35 / 100000, the average incidence of suburbs (counties) was 22.47 / 100000, higher than the suburbs (counties), the difference was statistically significant (P <0.01). The incidence of males was 49.59 / lakh and the incidence of females was 31.57 / lakh, the difference was statistically significant (P <0.01). The ratio of men to women was 1.61: The age group under the age of 5 accounted for the highest number of 7941 cases, accounting for 80.13% of the total. Among the occupational distributions, the number of scattered children (5,136 cases) and child care children (4,191 cases) were more common, accounting for 51.83 %, 42.29%. May to July is the high season, accounting for 80.93% of the annual incidence. [Conclusion] Hand-foot-mouth disease is the most important infectious disease in our city. Monitoring and control of the epidemic should be strengthened to prevent its outbreak.