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目的研究连云港市2009年手足口病重症病例的流行特征,为今后全市的手足口病防控工作的开展提供参考。方法对连云港市2009年手足口病监测系统上报的重症病例资料进行流行病学分析,采用RT-PCR检测病原体。结果连云港2009年43例手足口病重症病例的发病有明显的夏季发病高峰,83.7%发生在赣榆和东海2县,83.7%病例发生在3岁以下的散居儿童,51.2%的实验室检测结果为EV71。临床症状体征多为嗜睡、喷射性呕吐等神经系统受损症状。结论农村地区的散居儿童是手足口病防治工作应重点关注的人群,做好EV71阳性病例的医疗救治是减少重症病例发生比例的重要措施,加强健康教育,提高群众的卫生意识,是做好手足口病防治工作的基础。
Objective To study the epidemiological characteristics of severe cases of hand-foot-mouth disease in Lianyungang City in 2009 and provide references for the prevention and control of hand-foot-mouth disease in the future. Methods The epidemiological data of severe cases reported in 2009 hand-foot-mouth disease monitoring system in Lianyungang City were analyzed. The pathogens were detected by RT-PCR. Results The incidence of HFMD in 43 cases of hand-foot-mouth disease in Lianyungang in 2009 was significantly higher than that in 2003, with 83.7% occurring in 2 counties in Ganyu and East China Sea and 83.7% in scattered children under 3 years of age. The laboratory test results were 51.2% EV71. Most clinical signs and symptoms of lethargy, jet vomiting and other nervous system damage symptoms. Conclusion Diving children in rural areas should be the focus of hand-foot-mouth disease prevention and treatment work. To improve the EV71-positive medical treatment is an important measure to reduce the incidence of severe cases. To strengthen health education and raise people’s awareness of hygiene, Stomatology prevention and control work basis.