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目的:分析2010年石家庄市手足口病重症病例流行病学特征,探索手足口病重症患儿发病高危因素。方法:收集整理右家庄市2010年报告的手足口病病例流行病学调查表信息,应用描述性方法进行流行病学分析。结果:早产、第二胎及以上、剖宫产、初次就诊于县级及以下医院、初次就诊未被确诊是重症手足口病病例的高危因素,与轻症手足口病相比重症病例主要表现为高热,多为丘疹、出疹持续时间短、神经系统症状多见、病程较长等临床特征。结论:应加强围产保健提高新生儿免疫力,通过培训加强县级以下基层医疗机构诊疗水平。
Objective: To analyze the epidemiological characteristics of HFMD cases in Shijiazhuang in 2010 and to explore the risk factors of HFMD in children with HFMD. Methods: We collected and collected epidemiological questionnaire information of hand, foot and mouth disease cases reported by Weijia Zhuang in 2010, and used descriptive method to carry out epidemiological analysis. Results: Premature delivery, second fetus and above, cesarean section, first visit to the county level and below hospitals, the first visit was not diagnosed as a critically ill HFMD case risk factors, compared with severe cases of mild hand-foot-mouth disease, severe cases of major manifestations High fever, mostly papules, rash duration, common neurological symptoms, longer duration of clinical features. Conclusion: Perinatal care should be strengthened to improve the immunity of neonates, and the level of diagnosis and treatment of primary medical institutions below the county level should be strengthened through training.