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目的探讨福州市手足口病流行病学特征及重症病例影响因素,为完善防控措施提供依据。方法用描述流行病学分析方法,分析福州市2014年手足口病流行特征,用logistic回归分析探讨重症病例的影响因素。结果2014年福州市手足口病发病率316.27/10万,男性发病率(378.69/10万)高于女性(251.59/10万);发病以散居儿童为主(78.6%),≤5岁儿童好发(91.4%);发病主要在4~6月和9~10月;感染主要为EV71型(31.8%)、CoxA16型(27.6%)和CoxA6型(24.8%);发病率前3位是仓山区、永泰县和晋安区。重症病例的危险因素是男性、延迟就医和EV71型感染。结论建议加强肠道病毒监测;加强社区、托幼机构和小学的手足口病健康教育和促进工作,进一步完善防控措施。
Objective To explore the epidemiological characteristics of HFMD and the influencing factors of severe cases in Fuzhou, so as to provide basis for improving prevention and control measures. Methods Descriptive epidemiological analysis method was used to analyze the epidemiological characteristics of HFMD in Fuzhou in 2014. Logistic regression analysis was used to explore the influencing factors of severe cases. Results The incidence of HFMD in Fuzhou was 316.27 / 100 000 in 2014, the incidence rate of male was higher than that of female (251.89 / 100000). The incidence was mainly scattered children (78.6%), children ≤5 years (91.4%). The incidence was mainly in April-June and September-October. The main infections were EV71 type (31.8%), CoxA16 type (27.6%) and CoxA6 type (24.8% Mountain, Yongtai County and Jinan District. The risk factors for critically ill cases were men, delayed medical care and EV71 infection. Conclusions It is suggested to strengthen the surveillance of enteroviruses; to strengthen health education and promotion of Hand, Foot and Mouth Disease in communities, nurseries and primary schools, and to further improve prevention and control measures.