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目的分析2010年邢台市手足口病(hand,foot and mouth disease,HFMD)流行病学特征,为控制HFMD提供依据。方法收集整理邢台市2010年医疗机构报告的HFMD报告卡信息和RT-PCR实验室检测结果,应用描述性方法进行流行病学分析。结果 2010年邢台市共报告HFMD病例8702例,发病率121.97/10万,其中重症486例,重症发生率5.58%;死亡12例,病死率0.14%。多发生于1~3岁儿童,散发儿童为主要发病人群;全年散在发生,4~7月为高发季节;县区之间重症发生率差异有统计学意义(χ2=118.29,P<0.01),重症病例和死亡病例中肠道病毒71型(Human enterovirus 71,简称EV 71)阳性率分别为75.97%、85.71%。结论 HFMD是邢台市重要的公共卫生问题,应保持高度警惕。HFMD发生有明显年龄、季节和地区差异,EV 71是导致HFMD重症和死亡的主要肠道病毒。
Objective To analyze the epidemiological characteristics of hand, foot and mouth disease (HFMD) in Xingtai City in 2010 and provide basis for the control of HFMD. Methods The data of HFMD report card reported by Xingtai Medical Institution in 2010 and the results of RT-PCR laboratory were collected and analyzed, and the descriptive method was used for epidemiological analysis. Results A total of 8 702 cases of HFMD were reported in Xingtai City in 2010 with a prevalence of 121.97 / 100 000, of which 486 were severe and 5.58% were severe. 12 died and the case fatality rate was 0.14%. Occurred in 1 to 3 years old children, the distribution of children as the main incidence of the crowd; scattered throughout the year, 4 to 7 months for the high season; the incidence of severe disease between counties was statistically significant (χ2 = 118.29, P <0.01) , The positive rates of severe enterpox and human enterovirus 71 (EV 71) were 75.97% and 85.71% respectively. Conclusion HFMD is an important public health problem in Xingtai City and should be highly vigilant. There are significant age, season and regional differences in the occurrence of HFMD, and EV 71 is a major enterovirus that causes severe and fatal HFMD.