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目的研究2009-2012年安阳市手足口病疫情的诊断、报告特点,为提高疫情防控科学性提供依据。方法运用描述性研究方法,分析2009-2012年安阳市疫情网络直报系统报告的手足口病数据。结果安阳市手足口病疫情报告单位集中在县级以上综合医院,乡镇卫生院和社区卫生服务中心合计占1.09%;重症平均异地就诊率(27.32%)显著高于轻症9.04%。近4年发病至诊断时间略有缩短,重症(64 h)长于轻症(34h);病例诊断到报告时间由16.43h缩短为2.01h,重症(10.90h)和轻症(10.53 h)间无统计学意义。结论基层医疗机构和传染病医院手足口病诊断能力不足,重症识别能力有待提升,居民选择性就诊行为强,应加强医疗机构手足口病诊疗培训和能力提升,严格落实转诊制度,开展群众健康教育。
Objective To study the characteristics of diagnosis and report of HFMD in Anyang from 2009 to 2012 and provide basis for improving the prevention and control of epidemic situation. Methods Descriptive method was used to analyze hand-foot-mouth disease data reported by Anyang Epidemic Network Direct Report System from 2009 to 2012. Results The reported units of HFMD in Anyang City were 1.09% in general hospitals, township hospitals and community health centers, and the average visiting rate in severe cases was 27.32%, significantly higher than 9.04% in mild cases. In the recent 4 years, the time to diagnosis was slightly shortened, and the duration of severe illness (64 h) was longer than that of mild illness (34 h). The time from diagnosis of the cases to the time of reporting was shortened from 16.43 hours to 2.01 hours and that between severe (10.90 hours) and mild (10.53 hours) Statistical significance. Conclusions The diagnosis ability of hand-foot-mouth disease in grass-root medical institutions and infectious disease hospitals is insufficient, the ability of severe disability recognition needs to be improved and residents have selective treatment. We should strengthen the diagnosis and treatment training and capacity improvement of HFMD in medical institutions, strictly implement the referral system and carry out public health education.