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目的对昆明市2008—2013年手足口病网络报告病例进行分析,探索昆明市手足口病流行特征,为制定具有针对性的手足口病防制策略提供依据。方法从《中国疾病预防控制信息系统》中导出2008—2013年昆明市手足口病所有原始报告卡片,筛选出临床诊断和实验室诊断病例,用软件SPSS 17.0对数据进行描述分析。结果 2008—2013年6年间昆明市手足口病发病率差异有统计学意义(P<0.01),发病率呈隔年上升的趋势;男性发病数高于女性,差异有统计学意义(P<0.01);报告病例中以散居儿童所占比例最高;年龄主要集中在3岁及以下年龄段;全年均有病例报告,病例主要集中在夏秋季节,5、6月达到发病最高峰,2009—2012年在年末均出现发病小高峰;昆明市发病率较高的地区主要集中在主城区,远离城区的禄劝县发病率最低。结论昆明市手足口病的发病在时间上具有一定的规律性,在人群和地区的分布上也有明显的特征,今后应根据这些特征有针对性地开展防制工作。
Objective To analyze the reported cases of hand-foot-mouth disease in Kunming from 2008 to 2013, and to explore the epidemiological characteristics of hand-foot-mouth disease in Kunming and provide evidence for the prevention of hand-foot-mouth disease. Methods All the original report cards of hand, foot and mouth disease from 2008 to 2013 in Kunming City were derived from “China Disease Prevention and Control Information System”, and the clinical diagnosis and laboratory diagnosis cases were screened out. The software SPSS 17.0 was used to describe and analyze the data. Results The incidence of HFMD in Kunming between 2008 and 2013 was significantly different (P <0.01). The incidence of HFMD increased year after year. The incidence of male was higher than that of female (P <0.01) ; The proportion of the reported cases was the highest among the scattered children; the age mainly concentrated in the age group of 3 years and below; all the cases were reported in the year, the cases mainly concentrated in the summer and autumn, reaching the peak incidence in May and June 2009-2012 In the end of the year there was a small peak incidence; Kunming higher incidence areas are mainly located in the main urban areas, away from the urban area Luquan lowest incidence. Conclusion The incidence of hand, foot and mouth disease in Kunming has a certain regularity in time. There are also obvious characteristics in the distribution of population and area. In the future, the prevention and control work should be carried out according to these characteristics.