论文部分内容阅读
【目的】了解南宁市城区2008-2011年手足口病的流行病学特征,为防控手足口病提供参考。【方法】运用描述性流行病学方法,对本院门诊和住院手足口病患儿资料进行分析。【结果】2008-2011年南宁市所辖六城区均有病例报告,共9 280例,兴宁和西乡塘两区发病较多,占77.84%,呈全年散发,发病高峰期为3～7月,男女性别比为1.65∶1,主要侵犯散居儿童和托幼儿童,两者占97.37%,病原体检测显示以EV71、CoxA16为主,高发年龄6个月～3岁,占84.67%,6月以下发病率相当低,仅占2.22%;发病后3d内就诊率高达95.13%,轻症病人门诊治疗占84.94%,住院治疗占15.06%。【结论】2008-2011年南宁市城区手足口病主要由EV71或CoXA16引起,六城区均有发病,夏季高发,散居儿童和托幼儿童是发病主要人群,男性高于女性,6月以下婴儿可能存在保护性抗体,绝大部分轻症患儿门诊治愈。
【Objective】 To understand the epidemiological characteristics of hand-foot-mouth disease in Nanning city from 2008 to 2011 and provide a reference for prevention and control of hand-foot-mouth disease. 【Methods】 Descriptive epidemiological methods were used to analyze the data of outpatients and hand-foot-mouth disease in our hospital. 【Results】 There were 9 280 cases reported in Liucheng district under the jurisdiction of Nanning from 2008 to 2011. Xingning and Xixiangtang had more incidences, accounting for 77.84% of the total, showing a year-round distribution with a peak incidence of 3 ~ In July, the male-to-female sex ratio was 1.65: 1, mainly affecting the scattered children and kindergarten children, accounting for 97.37% of the total. The pathogen detection was mainly EV71 and CoxA16, with a high prevalence of 6 months to 3 years, accounting for 84.67% and 6 The monthly incidence rate was very low, accounting for only 2.22%; the rate of visiting 95.13% within 3 days after onset, 84.94% for outpatient treatment of mild patients and 15.06% for inpatient treatment. 【Conclusion】 Hand-foot-mouth disease in Nanning city was mainly caused by EV71 or CoXA16 in 2008-2011. The incidence was high in summer in six districts. Diving and kindergarten children were the main groups with higher prevalence of males than females. Presence of protective antibodies, the vast majority of patients with mild disease cured.