管继萍, 许洁, 关先兰, 俞捷. 遵义市汇川区手足口病流行病学及病原学监测分析[J]. 环境卫生学杂志, 2015, 5(1): 24-28. DOI: 10.13421/j.cnki.hjwsxzz.2015.01.006
    引用本文: 管继萍, 许洁, 关先兰, 俞捷. 遵义市汇川区手足口病流行病学及病原学监测分析[J]. 环境卫生学杂志, 2015, 5(1): 24-28. DOI: 10.13421/j.cnki.hjwsxzz.2015.01.006
    GUAN Jiping, XU Jie, GUAN Xianlan, YU Jie. Analysis on Epidemiological and Etiological Surveillance of Hand-foot-mouth Disease in Huichuan District of Zunyi City[J]. Journal of Environmental Hygiene, 2015, 5(1): 24-28. DOI: 10.13421/j.cnki.hjwsxzz.2015.01.006
    Citation: GUAN Jiping, XU Jie, GUAN Xianlan, YU Jie. Analysis on Epidemiological and Etiological Surveillance of Hand-foot-mouth Disease in Huichuan District of Zunyi City[J]. Journal of Environmental Hygiene, 2015, 5(1): 24-28. DOI: 10.13421/j.cnki.hjwsxzz.2015.01.006

    遵义市汇川区手足口病流行病学及病原学监测分析

    Analysis on Epidemiological and Etiological Surveillance of Hand-foot-mouth Disease in Huichuan District of Zunyi City

    • 摘要:
      目的 分析2011-2013年遵义市汇川区手足口病疫情流行病学特征, 为手足口病的预防及控制提供科学依据。
      方法 采用描述性流行病学对手足口病的三间分布及病原学特征进行分析。
      结果 汇川区手足口病患病呈逐年上升趋势, 患病有明显的季节性特征, 高峰期在春夏和秋冬交替的季节。各年龄段患病差异有统计学意义(χ2=1.581, P < 0.05), 5岁以下散居儿童为高发人群(91.0%), 且男性高发于女性(χ2=10.727, P < 0.05), 城区高发于乡镇(χ2=14.564, P < 0.05)。病原学检测提示以其他肠道病毒为主(χ2=26.714, P < 0.05), 5岁以下的儿童为病原检出的主要人群(93.5%), 其中1~4岁为高危人群(87.0%)。
      结论 遵义市汇川区手足口病发病正逐年上升, 以5岁以下儿童为高发人群。手足口病严重影响学龄前儿童的身体健康, 应根据其流行病学特征制定相应的预防控制措施, 加强手足口病的监测和宣传教育。

       

      Abstract:
      Objectives To investigate the epidemiological characteristics of hand-foot-mouth disease (HFMD) and to provide scientific basis for the prevention and control of HFMD.
      Methods Descriptive epidemiology was used to analyze the spatial, temporal and population distribution and etiological characteristics of HFMD.
      Results The prevalence of HFMD was in an increasing trend year-by-year in the Huichuan district of Zunyi. The prevalence of HFMD was in a characteristic of obvious seasonal variation, with a peak at the transition period from spring to summer and that from autumn to winter. The prevalence of HFMD in different age groups was statistically different(χ2=1.581, P < 0.05). The prevalence of HFMD among children less than 5 year-old was the highest (91.0%), the prevalence in boys was higher than that in girls(χ2=10.727, P < 0.05), and the prevalence was higher in urban areas than that in rural areas(χ2=14.564, P < 0.05).The pathogens in etiological detection were dominated by other enteroviruses(χ2=26.714, P < 0.05), pathogens were detected most in children less than 5 year-old (93.5%), and 1 to 4 year-old children were the high-risk group (87.0%).
      Conclusions The prevalence of HFMD was in an increasing trend, the high-risk group was children less than 5 year-old. There was a serious impact of HFMD on the health of preschool children. Corresponding preventive and control measures should be drawn up according to the epidemiological characteristics of HFMD; and monitoring, propagation and education should be strengthened.

       

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