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目的了解阳泉市城区2008～2010年手足口病的流行特征,为制定防控措施提供依据。方法采用描述流行病学分析方法对阳泉市城区2008～2011年手足口病发病资料进行分析。结果 2008～2011年合计报告手足口病病例877例,年均报告发病率为128.14/10万,无死亡病例。手足口病发病率,2008～2011年分别为106.76/10万、78.33/10万、245.03/10万、82.23/10万(P<0.01);男性为139.19/10万,女性为116.02/10万(P<0.01)。877例中,5～8月占66.36%;<5岁婴幼儿占84.26%;托幼儿童占46.41%,散居儿童367例,占41.85%;南山办事处占30.33%,上站办事处占23.60%,北大街办事处占15.28%。对115例手足口病例咽拭子进行病毒核酸检测,阳性65份,其中肠道病毒71型22例,柯萨奇病毒A组16型15例,其他肠道病毒28例。结论手足口病在全区范围内散在分布,3～5岁托幼儿童易出现聚集性病例。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in urban areas of Yangquan from 2008 to 2010, and provide evidence for the development of prevention and control measures. Methods Descriptive epidemiological analysis was used to analyze the data of hand-foot-mouth disease in Yangquan city from 2008 to 2011. Results A total of 877 HFMD cases were reported from 2008 to 2011, with an average annual incidence of 128.14 / 100,000 and no deaths. The incidence of HFMD was 106.76 / 100000, 78.33 / 100000, 245.03 / 100000, 82.23 / 100000 (P <0.01) respectively from 2008 to 2011; there were 139.19 / 100000 males and 116.02 / 100000 females (P <0.01). Among 877 cases, 66.36% were from May to August; 84.26% were infants and children aged <5 years; 46.41% were children and young children, 367 were scattered children, accounting for 41.85%; Nanshan Office accounted for 30.33%; Shangguan Office accounted for 23.60% %, North Avenue office accounted for 15.28%. A total of 65 positive samples were detected in 115 cases of throat swabs in hand, foot and mouth cases, including 22 cases of enterovirus 71, 15 cases of Coxsackie virus A, and 28 cases of other enteroviruses. Conclusion Hand, foot and mouth disease is scattered throughout the region, and 3 ~ 5 year-old children are prone to aggregation.