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[目的]分析手足口病发病规律,探索正确、实用的应对措施,高效、经济地开展预防控制工作。[方法]对平邑县2007~2009年的手足口病疫情资料进行分析。[结果]2007~2009年平邑县共报告手足口病876例,年均发病率为29.23/10万;死亡2例,病死率为0.23%。年发病率,2007年为19.28/10万,2008年为12.71/10万,2009年为55.59/10万(死亡2例)。年均发病率,男性为35.73/10万,女性为22.24/10万(P<0.01)。876例病人中,2月龄至3岁占77.17%,4~5岁占15.75%,6~11岁占7.08%;托幼机构儿童占16.10%,散居儿童占79.11%,学生占4.79%;农村占74.54%,城镇占25.45%;5~7月发病的占70.78%;重症病例占5.37%。2009中出现1起暴发疫情,发病5例,死亡1例。2例死亡病例的粪便标本肠道病毒71型阳性。[结论]平邑县手足口病疫情呈逐年上升趋势。
[Objective] To analyze the incidence of hand-foot-mouth disease, explore correct and practical countermeasures, and carry out prevention and control work efficiently and economically. [Method] The data of HFMD in Pingyi County from 2007 to 2009 were analyzed. [Results] A total of 876 HFMD cases were reported in Pingyi County from 2007 to 2009, with an average annual incidence of 29.23 / 100 000 and 2 deaths with a case fatality rate of 0.23%. The annual incidence was 19.28 / 100 000 in 2007, 12.71 / 100 000 in 2008 and 55.59 / 100 000 in 2009 (2 deaths). The annual average incidence was 35.73 / lakh for males and 22.24 / lakh for females (P <0.01). Among 876 patients, 77.17% were from 2 months to 3 years old, 15.75% were from 4 to 5 years old, 7.08% were from 6 to 11 years old, 16.10% were from childcare institutions, 79.11% were scattered children and 4.79% were from students. 74.54% in rural areas, cities and towns accounted for 25.45%; 70.78% incidence in May to July; severe cases accounted for 5.37%. One outbreak occurred in 2009, with 5 cases and 1 death. Stool samples of 2 deaths were positive for enterovirus 71. [Conclusion] The epidemic situation of hand-foot-mouth disease in Pingyi county showed a rising trend year by year.