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目的通过分析2010—2012年南宁市良庆区手足口病重症病例的流行特征,为制定手足口病预防控制措施提供科学依据。方法从“中国疾病预防控制信息系统”导出该城区2010—2012年所报告的手足口病病例信息,结合实验室检验结果、个案调查表及死亡病例调查报告进行分析。结果 2010—2012年南宁市良庆区手足口病病例8 026例,重症病例57例,重症病例占发病数的0.71%;重症病例的高发月份为3-7月,以5岁以下儿童为主,大沙田经济开发区为高发区,以散居儿童居多,3例死亡病例均存在延误治疗时间的因素,治愈病例和死亡病例实验室检测EV71阳性率,差异无统计学意义(χ2=0.82,P>0.05)。结论需进一步加大手足口病预防控制工作力度,加强乡村医生传染病预防控制知识培训,对广大群众普及手足口病知识,最大限度控制重症死亡病例的发生。
Objective To analyze the prevalence of HFMD cases in Liangqing District of Nanning from 2010 to 2012 so as to provide a scientific basis for the development of HFMD prevention and control measures. Methods The data of cases of HFMD reported in the city from 2010 to 2012 were derived from Information System for Disease Control and Prevention of China and analyzed with laboratory test results, case investigation tables and death case investigation reports. Results A total of 8 026 cases of hand-foot-mouth disease in Liangqing District of Nanning City from 2010 to 2012 were included, 57 cases were severe cases and 0.71% cases were severe cases. The cases with severe cases were from March to July with children under 5 years old , Dashatang Economic Development Zone is a high-incidence area, mostly scattered children, and there are three factors of delay treatment time in the three deaths. The positive rates of EV71 in the cured cases and death cases laboratory were not statistically significant (χ2 = 0.82, P > 0.05). Conclusion The prevention and control of hand, foot and mouth disease needs to be further strengthened, and knowledge and training of prevention and control of communicable disease among rural doctors should be strengthened. Knowledge of hand, foot and mouth disease should be popularized to the general public to minimize the occurrence of severe deaths.