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目的掌握手足口病流行趋势,为制定防控措施提供依据。方法利用描述流行病学方法分析沈阳市手足口病疫情资料。结果 2009—2010年手足口病年均报告发病率为99.52/10万,两年度报告发病率差异有统计学意义(P<0.05);男性为119.56/10万,女性为78.91/10万,差异有统计学意义(P<0.01),EV71病毒感染占41.18%;6—9月份报告发病占81.80%,其中7、8月份报告发病占56.30%,呈典型的夏季发病高峰;散居儿童、幼托儿童报告手足口病病例数分别占全部病例的72.60%和23.60%,职业高峰明显;城区手足口病年均报告发病率为96.15/10万,农村手足口病年均报告发病率为103.09/10万,城乡差异有统计学意义(P<0.01);0～5岁年龄组报告发病数占发病总数的91.58%,其中2～4岁年龄组占报告发病总数的64.57%,呈典型的婴幼儿高发的态势。结论该市应加强托幼机构传染病防治工作管理,落实各项防控措施;做好卫生宣教工作,提高防控意识和防控水平;做好疫情监测分析,及时做出流行趋势预警;做好应急处理工作,有效控制手足口病暴发流行。
Objective To grasp the epidemic trend of hand-foot-mouth disease and provide the basis for making prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the epidemic situation of HFMD in Shenyang City. Results The annual incidence rate of hand-foot-mouth disease was 99.52 / 100 000 between 2009 and 2010. The difference between the two reports was statistically significant (P <0.05). The prevalence was 119.56 / lakh for males and 78.91 / females for females, (P <0.01). The EV71 virus infection accounted for 41.18%. The incidence in June-September was 81.80%, of which, the incidence in July and August was 56.30%, showing a typical peak in summer. The diaspore children, Children reported HFMD cases accounted for 72.60% and 23.60% of the total cases respectively, with a clear career peak. The annual incidence of hand-foot-mouth disease in urban areas was 96.15 / lakh and that of rural HFMD was 103.09 / 10 The difference between urban and rural areas was statistically significant (P <0.01). The number of reported cases in the 0-5 age group accounted for 91.58% of the total number of cases, of which 2-4 years old group accounted for 64.57% of the total reported cases, showing typical infants and young children High incidence of the situation. Conclusion The city should strengthen the management of infectious disease prevention and treatment work in kindergartens and implement various prevention and control measures; do a good job in publicity and education to improve the awareness of prevention and control and prevention and control; monitor and analyze the epidemic situation and make early warning of epidemic trends; Good emergency response work, effective control of HFMD outbreak.