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目的分析2014年靖西县手足患病(HFMD)暴发流行的特征,为今后制定防治措施提供依据。方法采用描述流行病学方法,对患者发病时间、地点、年龄、性别、职业分布情况进行统计分析。结果 2014年靖西县共报告手足口病3 859例,发病率为582.94/10万。患者分布于全县19个乡镇,全年4季均有患者发生,3—7月为春夏发病高峰季节,9—12月为秋冬季发病小高峰,患病例数分别占69.99%、20.01%;患者以5岁以下散居儿童为主,尤以3岁以下儿童发病率高,1岁年龄组儿童发病人数占38.12%;男性多于女性;散居儿童多于托幼儿童。主要由EV71和CoxA16感染引起。结论靖西县HFMD发病有明显季节性,5岁以下儿童患者较多,应有针对性地采取综合措施,防止暴发流行。
Objective To analyze the epidemic characteristics of HFMD in Jingxi County in 2014 and provide the basis for future prevention and treatment measures. Methods Descriptive epidemiological methods were used to analyze the time, place, age, gender and occupational distribution of patients. Results A total of 3 859 HFMD cases were reported in Jingxi County in 2014, with a prevalence of 582.94 / 100 000. The patients were distributed in 19 townships of the county, with patients occurring in 4 seasons throughout the year, with the peak season of spring and summer in March-July and the peak in autumn and winter in September-December, accounting for 69.99%, 20.01 %. Patients were mainly children under 5 years of age, especially children under 3 years of age. The incidence of children in the age group of 1 year accounted for 38.12%, more men than women, more children than kindergarten children. Mainly caused by infection with EV71 and CoxA16. Conclusion The incidence of HFMD in Jingxi County is obviously seasonal. There are more children under 5 years of age. Comprehensive measures should be taken to prevent outbreak.