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目的了解济南市历城区手足口病的流行特征,为制定正确、高效的手足口病防治措施提供依据。方法对2012年历城区手足口病疫情资料进行分析。结果 2012年历城区报告手足口病2 204例,发病率为258.74/10万,其中重症病例4例,无死亡病例。无疫情爆发,共68所托幼机构出现聚集性病例。手足口病发病率,男性为316.52/10万,女性为200.88/10万(P<0.01);0岁为1 305.51/10万,1岁为4 355.65/10万,2岁为3 659.41/10万,3岁为4 353.69/10万,4岁为2 638.21/10万,5岁以上为28.745/10万。全部病例中,散居儿童占74.46%,托幼儿童占23.32%,学生占2.00%,其他人员占0.23%;5~7月发病的占64.61%。发病率居前3位的为华山镇(1 056.09/10万)、王舍人镇(507.74/10万)、东风办事处(466.68/10万)。检测患者标本220份,肠道病毒核酸阳性率为78.64%,阳性标本中,EV71核酸阳性的占20.81%,CoxA16核酸阳性的占64.74%,其他肠道病毒核酸阳性的占14.45%。结论 2012年济南市历城区手足口病疫情较为严重。
Objective To understand the epidemic characteristics of hand, foot and mouth disease in Licheng District, Jinan City, and provide evidence for the establishment of a correct and effective prevention and treatment measures for hand, foot and mouth disease. Methods The data of HFMD in 2012 in Licheng district were analyzed. Results In 2012, 240 cases of hand, foot and mouth disease were reported in Licheng District, with a prevalence of 258.74 / 100 000, of which 4 were severe cases without any deaths. No outbreak of epidemics, a total of 68 nurseries agency cases of aggregation. The incidence of hand-foot-mouth disease was 316.52 / lakh for males and 200.88 / lakh for females (P <0.01), 1 305.51 / lakh for 0 years old, 4 355.65 / lakh for 1-year old and 3 659.41 10 3 million at 4,353.69 / 100,000 at age 3, 2 638.21 / 100,000 at 4 years of age and 28.745 / 100,000 at 5 years of age. In all cases, 74.46% were scattered children, 23.32% were child care children, 2.00% were students, others were 0.23%, and 64.61% were diagnosed from May to July. The top three were Huashan Town (1 056.09 / 100,000), Wangsheren Town (507.74 / 100,000) and Dongfeng Office (466.68 / 100,000). The positive rate of enterovirus nucleic acid was 220.6% in 220 samples of patients, 20.81% of EV71 positive samples, 64.74% of CoxA16 positive samples and 14.45% of other enterovirus positive samples. Conclusion In 2012, the epidemic situation of hand, foot and mouth disease in Licheng District of Jinan City was more serious.