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目的探讨手足口重症病例流行特征,为制定防控措施提供依据。方法收集2011-2014年四川省手足口重症病例的资料,采用Epidata数据库进行数据录入,利用SPSS15.0软件进行统计学分析。结果 2011-2014年,四川省共报告手足口重症病例1536例,4~6月为发病高峰;重症病例数最多的市(州)是成都市,占61.59%;病例男女性别比为1.52∶1,3岁以下幼儿占87.32%,以散居儿童为主(66.39%)。村(个体)诊所手足口病诊断正确率13.43%;乡镇(社区)医院诊断正确率30.41%;县医院、市医院诊断正确率在50%以上。实验室检测结果阳性以EV71为主(47.34%)。结论 4~6月应加强四川省手足口病重症病例的救治和防控工作,重点对象为3岁以下的散居儿童,加强对镇(社区)医院及村(个体)诊所医务人员的手足口病知识的培训。
Objective To explore the epidemiological characteristics of hand, foot and mouth severe cases, to provide the basis for the development of prevention and control measures. Methods The data of severe cases of hand, foot and mouth in Sichuan province during 2011-2014 were collected. Data were entered using Epidata database and analyzed by SPSS15.0 software. Results A total of 1536 HFMD cases were reported in Sichuan Province during 2011-2014, with the peak incidence from April to June. The cities with the most severe cases were Chengdu, accounting for 61.59% of the total. The sex ratio of patients was 1.52:1 , 87.32% of children under 3 years of age, with scattered children (66.39%). Village (individual) diagnosis of hand-foot-mouth disease clinics correct rate of 13.43%; township (community) hospitals diagnosed correct rate of 30.41%; county hospitals, municipal hospitals diagnostic accuracy of 50%. Laboratory tests positive for EV71 (47.34%). Conclusion From June to June, the treatment and prevention and control of severe cases of HFMD in Sichuan Province should be strengthened. The focus is on scattered children under 3 years of age. The management of hand-foot-mouth disease in medical staff in hospitals (clinics) and clinics in villages Knowledge training.