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目的分析崇左市江州区2008—2014年手足口病分布特点和流行趋势,为制定手足口病防控策略提供科学依据。方法收集2008—2014年《中国疾病预防控制信息管理系统》报告的崇左市江州区手足口病疫情监测资料进行分析。结果 2008—2014年崇左市江州区共报告手足口病12 886例,其中重症病例109例,死亡6例。年平均发病率为559.33/10万,年度之间发病率比较,差异有统计学意义(χ~2=6 533.19。P<0.01)。病例高峰期为5月份,主要集中在4—6月和9—11月份,占74.83%。以0~5岁儿童发病为主,占96.48%。男女性别比为1.88∶1。散居儿童和幼托儿童,分别占83.63%和14.16%。病例主要以临床诊断为主,实验室确诊较少,仅占报告数的0.85%。结论崇左市江州区应以5岁以下儿童,尤其是≤3岁学龄前儿童为防治工作的重点人群,该区应采取综合性防控措施,加强多部门协作;同时加强实验室诊断工作,切实减少和控制手足口病的发生和流行。
Objective To analyze the distribution characteristics and epidemic trends of hand-foot-mouth disease in Jiangzhou District, Chongzuo City from 2008 to 2014, and to provide a scientific basis for the prevention and control of hand-foot-mouth disease. Methods The monitoring data of HFMD in Jiangzhou District of Chongzuo City collected from 2008-2014 “China Disease Prevention and Control Information Management System” was collected. Results A total of 12,886 HFMD cases were reported in Jiangzhou District of Chongzuo City from 2008 to 2014, of which 109 were severe cases and 6 were fatal. The average annual incidence rate was 559.33 / 100000, the incidence rate between the years, the difference was statistically significant (χ ~ 2 = 6 533.19.P <0.01). The peak of the cases was May, mainly in April-June and September-November, accounting for 74.83%. The incidence of 0 to 5-year-old children, accounting for 96.48%. The male / female ratio is 1.88: 1. Diaspora and kindergarten children accounted for 83.63% and 14.16% respectively. The main clinical diagnosis of cases, laboratory less confirmed, accounting for only 0.85% of the number reported. Conclusion In Jiangzuo District of Chongzuo City, children under 5 years of age, especially preschool children ≤3 years of age, should be the focus of prevention and treatment work. Comprehensive prevention and control measures should be taken in this area to strengthen multi-sectoral collaboration. At the same time, laboratory diagnosis should be strengthened , Effectively reduce and control the occurrence and prevalence of HFMD.