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目的了解云南省手足口病的流行特征,为防控提供科学的依据。方法用描述流行病学方法和χ2检验,对2009-2011年疾病监测系统报告的云南省手足口病病例进行分析。结果 2009-2011年,手足口病在全省均有发病,年报告发病率分别为33.17/10万、106.30/10万、84.97/10万,流行高峰主要在4~7月,病例主要集中在5岁以下儿童,尤其是1~3岁儿童,职业分布以散居儿童和幼托儿童为主;低年龄组、就诊不及时、散居儿童和幼托儿童是发生重症的高危因素;实验室检测EV71占53.44%(3 546/6 635),Cox A16占44.55%(2 956/6 635)。结论手足口病在云南省广泛流行,病原主要为EV71和Cox A16。就诊不及时、低年龄组儿童是发生重症的危险因素。
Objective To understand the epidemiological characteristics of hand, foot and mouth disease in Yunnan Province and provide a scientific basis for prevention and control. Methods Epidemiological methods and Chi-square test were used to analyze the reported cases of hand-foot-mouth disease in Yunnan Province from 2009-2011. Results The incidence of HFMD in the province from 2009 to 2011 was 33.17 / lakh, 106.30 / lakh and 84.97 / lakh, respectively. The epidemic peak was mainly in April to July. The cases mainly concentrated in the Children under 5 years of age, especially children aged 1-3, occupy mainly scattered and kindergarten children. In the low-age group, the children who are not treated and the scattered children and preschool children are the risk factors of severe illness. Laboratory tests of EV71 Accounting for 53.44% (3 546/6 635) and Cox A16 accounting for 44.55% (2 956/6 635). Conclusion Hand-foot-mouth disease is prevalent in Yunnan Province. The main pathogens are EV71 and Cox A16. Children in the lower age group were the risk factors for severe illness when the doctor did not receive treatment.