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目的探讨手足口病的流行病学特征,为制订防控措施提供科学依据。方法对2008-2009年邹城市手足口病流行病学资料进行分析。结果 2008-2009年累计报告手足口病784例,年均发病率为34.25/10万,其中2008年发病率为14.11/10万,2009年发病率为54.28/10万(P<0.01)。2008-2009年年均发病率,男性为21.89/10万,女性为12.03/10万(P<0.01);0～5岁为334.82/10万,≥6岁为1.56/10万(P<0.01);城前镇、太平镇为59.28/10万,3个街道为43.79/10万,其他11个镇为25.89/10万(P<0.01)。784例病人中,轻型776例,重症病例8例(均为2009年);散居儿童占76.91%,托幼儿童占18.75%,学生占4.08%,工人、农民占0.26%;4～7月发病的占88.14%。检测粪便标本55例,EV71病毒核酸阳性的9例。结论邹城市手足口病发病有增高趋势,主要累计5岁以下儿童。
Objective To explore the epidemiological characteristics of hand-foot-mouth disease and provide a scientific basis for making prevention and control measures. Methods The epidemiological data of HFMD in Zoucheng City during 2008-2009 were analyzed. Results A total of 784 cases of hand, foot and mouth disease were reported in 2008-2009, with an average annual incidence of 34.25 / 100 000, of which 14.11 / 100 000 in 2008 and 54.28 / 100 000 in 2009 (P <0.01). The average annual incidence rate in 2008-2009 was 21.89 / lakh for males and 12.03 / lakh for females (P <0.01), 334.82 / lakh for 0-5 years and 1.56 / lakh for 6 years (P <0.01) ); Chengqian Town, Taiping Town was 59.28 / 100000, 43.79 / 100000 in the three streets and 25.89 / 100000 in the other 11 towns (P <0.01). 784 patients, 776 cases of light, severe cases in 8 cases (both 2009); scattered children accounted for 76.91%, child care accounted for 18.75%, 4.08% of students, workers, farmers accounted for 0.26%; 4 to 7 months of onset Accounted for 88.14%. 55 cases of stool samples, 9 cases of EV71 virus nucleic acid positive. Conclusion The incidence of hand, foot and mouth disease in Zoucheng City has an increasing trend, mainly accumulating children under 5 years of age.