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目的了解某县一起手足口病暴发的流行特征和临床表现,为早期预防提供依据。方法通过疫情报告获取某县疫情初期所有手足口病病例共109人,采用个案调查的方法收集患儿的基本信息和临床病历资料,进行描述性流行病学研究和统计分析。结果本次疫情的发病人群主要为0～3岁的农村儿童,占发病总数的89.0%,0～3岁的发病率在105/10万～115/10万之间,1～3岁男童发病率高于女童,临床表现主要为发热和手、足、口腔等部位的皮疹,各系统伴随症状发生率较低,重症病例占16.5%。结论手足口病的发病高危人群为婴幼儿,应针对该群体采取有效的综合性措施进行早期干预。
Objective To understand the epidemiological features and clinical manifestations of hand-foot-mouth disease (outbreak of HFMD) in a county and provide the basis for early prevention. Methods A total of 109 cases of hand, foot and mouth disease were detected in the early stage of an outbreak in a county through epidemic situation report. The basic information and clinical records of children were collected by case investigation and the descriptive epidemiological study and statistical analysis were conducted. Results The incidence of this epidemic was mainly 0 to 3 years old rural children, accounting for 89.0% of the total incidence of 0 to 3 years of age the incidence of 105/10 to 115/10 million between 1 to 3 years old boy The incidence was higher than that of girls. The main clinical manifestations were fever and skin rashes of hands, feet, mouth and other parts of the body. The incidence of symptoms associated with each system was low, accounting for 16.5% of the severe cases. Conclusion HFMD is an infants and young children with HFMD. Effective and comprehensive measures should be taken for this group to make early intervention.