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目的分析玉溪市学生人群手足口病流行特征,为制定防治策略提供科学依据。方法收集玉溪市2011-2014年中小学生手足口病资料,采用SPSS15.0对收集整理的资料进行描述性统计分析。结果 2011-2014年玉溪市共报告学生手足口病1 862例,占全部人群手足口病例的6.70%,其中,重症病例仅9例,无死亡病例。2011-2014年发病数分别是298例、654例、574例和336例,年发病率分别是0.95‰,2.09‰,1.83‰和1.07‰。不同年份间发病率差异有统计学意义(P<0.001);男女发病之比为1.11:1,小学生年均发病率(2.45‰)与中学生(0.17‰)差异有统计学意义(P<0.001)。病原体构成以EV71为主,占57.46%,CoxA16次之,占36.57%。结论学生是仅次于散居儿童、托幼儿童的手足口病高发人群,加强这一特定人群的手足口病防控工作,特别是高度关注小学生人群手足口病防控措施的落实是手足口病防控工作面临的重要课题。
Objective To analyze the epidemiological characteristics of hand, foot and mouth disease among students in Yuxi City, and to provide a scientific basis for making prevention and cure strategies. Methods The data of hand-foot-mouth disease among primary and secondary school students in Yuxi City during 2011-2014 were collected. The collected data were analyzed descriptively by SPSS15.0. Results A total of 1 862 HFMD cases were reported in Yuxi City from 2011 to 2014, accounting for 6.70% of the total HFMD cases, of which 9 were critically ill and no deaths were reported. The number of cases from 2011 to 2014 were 298 cases, 654 cases, 574 cases and 336 cases respectively. The annual incidence rates were 0.95 ‰, 2.09 ‰, 1.83 ‰ and 1.07 ‰, respectively. (P <0.001). The incidence of males and females was 1.11: 1. The average annual incidence of primary school students (2.45 ‰) and secondary school students (0.17 ‰) was statistically significant (P <0.001) . The main pathogens were EV71, accounting for 57.46%, followed by CoxA16, accounting for 36.57%. Conclusions Students are the second most frequent HFMD group in diaspora and kindergarten children and strengthen the prevention and control of hand, foot and mouth disease in this particular group of people. Especially HFMD prevention and control measures, which are highly concerned with primary school children, are hand, foot and mouth disease Prevention and control of work facing an important issue.