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目的了解临夏回族自治州2008年5月~7月住院儿童手足口病流行病学特征,为制定针对性的预防策略提供依据。方法收集2008年5月~7月临夏州州医院住院的全部儿童手足口病患者的病案资料,进行流行病学“三间分布”及临床特征描述。结果该地区儿童手足口病主要集中在1~5岁散居儿童及托幼儿童,以散居儿童为主;病例构成男童高于女童,农村病例高于城镇病例。临床表现方面,皮疹部位主要集中于手、足、口和臀,发热主要以有口腔溃疡的儿童及发病6 d前外出就餐的儿童为主。结论该地区儿童手足口病的流行以农村散居儿童为主,提高民众健康意识,加强农村三级卫生保健网建设依然是有效预防该病的关键措施。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in children hospitalized in May-July 2008 in Linxia Hui Autonomous Prefecture, and to provide a basis for the development of targeted prevention strategies. Methods The data of all cases of hand, foot and mouth disease in children hospitalized in Linxia Prefecture Hospital from May to July 2008 were collected, and the epidemiology, “three distributions” and clinical features were collected. Results Hand-foot-mouth disease of children in this area mainly focused on scattered diarrhea children aged 1 to 5 years and children in kindergartens. The incidence of cases was higher in boys than in girls, and in rural areas was higher than that in urban areas. Clinical manifestations, the rashes mainly in the hands, feet, mouth and buttocks, fever, mainly with children with oral ulcers and 6 d before onset of eating out of children. Conclusion The prevalence of hand-foot-mouth disease among children in rural areas in this area is dominated by rural diasporas. It is of vital importance to improve people’s health awareness and to strengthen the construction of a rural tertiary health care network.