论文部分内容阅读
目的了解2012-2015年宁波某社区学龄前儿童手足口病发病情况,探讨手足口病发病危险因素,为宁波社区学龄前儿童手足口病防控提供依据。方法从《中国疾病预防控制信息系统传染病报告信息管理系统》中收集该社区2012-2015年手足口病传染病疫情数据,采用描述性分析和Logistic回归分析手足口病发病的相关危险因素。结果 2012-2015年该社区学龄前儿童手足口病累计报告687例,年平均发病率为2 286.04/10万;0~3岁组儿童发病率高于4~6岁组(χ~2=113.10,P<0.01);散居儿童发病率高于幼托儿童(χ~2=128.78,P<0.01);男女童发病率差异无统计学意义(χ~2=0.01,P>0.05),男女发病比1.06∶1。手足口病发病有明显季节性,呈双峰型,高峰在5-7月和9-11月份。多因素Logistic回归分析显示0~3岁、散居儿童是手足口病高危人群,不规范洗手、近一周接触手足口病病人、近一周到过人群密集场所及日常看护人不了解手足口病防治知识是手足口病高发的危险因素。结论2012-2015年宁波某社区学龄前儿童手足口病发病疫情较严重,发病影响因素较多,应加强患者管理、隔离传染源、加强易感儿童个人自我防护及做好健康宣教,以降低手足口病发病率。
Objective To understand the incidence of hand-foot-mouth disease in preschool children in a community in Ningbo from 2012 to 2015 and to explore the risk factors of hand-foot-mouth disease in order to provide basis for prevention and control of hand-foot-mouth disease in preschool children in Ningbo community. Methods The epidemic data of hand, foot and mouth disease in 2012-2015 were collected from the Information Management System for Infectious Diseases of Disease Control and Prevention in China. Logistic regression analysis was used to analyze the related risk factors of HFMD. Results A total of 687 cases of hand-foot-mouth disease were reported in preschool children from 2012 to 2015, with an average annual incidence of 2 286.04 / 100 000. The incidence of children aged 0-3 years was higher than that of children aged 4 to 6 years (χ ~ 2 = 113.10 , P <0.01). The incidence of diaspora in children was higher than that of childcare children (χ ~ 2 = 128.78, P <0.01). There was no significant difference in the incidence of male and female children (χ ~ 2 = 0.01, P> 0.05) Than 1.06: 1. The incidence of hand, foot and mouth disease was significantly seasonal, bimodal type, the peak in May-July and September-November. Multivariate logistic regression analysis showed that 0-3 years old, diaspora were HFMD HFMD group, which did not wash their hands regularly. HFMD patients were exposed in the past week. Crowds and daily caregivers in the recent week did not know the knowledge about prevention and treatment of HFMD HFMD risk factors. Conclusion The incidence of hand-foot-mouth disease in pre-school children in a community of Ningbo in 2012-2015 is more serious with more influential factors, so patient management should be strengthened, source of infection should be segregated, personal self-protection of vulnerable children should be strengthened, and health education should be carried out to reduce hand-foot The incidence of stomatitis.