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目的了解南阳市2010—2012年儿童手足口病发病情况,为开展相应预防控制工作提供科学依据。方法对全市和儿童手足口病报告病例、重症病例和病原学监测资料进行流行病学分析。结果 2010—2012年南阳市共报告手足口病例15 603例,年均发病率为51.09/10万,各年度间差异有统计学意义(χ2=303.817,P<0.01)。0~6岁儿童病例全市报告15 435例,占全人群病例数的98.92%,0~3岁婴幼儿为高发年龄。肠道病毒是引起儿童手足口病的主要病原体,3—7月为发病高峰季节。病例多数为散居儿童;男性多于女性,差异有统计学意义(χ2=239.540,P<0.01)。结论南阳市儿童手足口病发病率在全国处于中等水平,0~3岁儿童及散居儿童是手足口病防控工作的重点人群,加强社区居民健康教育是预防的重要措施。
Objective To understand the incidence of hand, foot and mouth disease in children from 2010 to 2012 in Nanyang and to provide a scientific basis for the corresponding prevention and control work. Methods Epidemiological analysis of reported cases, severe cases and etiological surveillance data of hand-foot-mouth disease in the whole city and children were carried out. Results A total of 15 603 cases of hand, foot and mouth were reported in Nanyang City from 2010 to 2012, with an average annual incidence rate of 51.09 / 100 000. There was a significant difference between years (χ2 = 303.817, P <0.01). A total of 15 435 cases of children aged 0-6 years were reported in the city, accounting for 98.92% of the total number of cases. Infants aged 0-3 years were of high age. Enterovirus is the main cause of hand, foot and mouth disease in children, 3-7 months for the peak season. The majority of cases were diaspora; more men than women, the difference was statistically significant (χ2 = 239.540, P <0.01). Conclusion The incidence of hand, foot and mouth disease in children in Nanyang is at a middle level throughout the country. Children 0-3 years old and scattered children are the key population in prevention and control of hand, foot and mouth disease. Strengthening health education for community residents is an important measure for prevention.