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目的:分析手足口病流行病学和临床特征,为制订有效的防治措施提供依据。方法:回顾性分析广东省佛山市顺德区第一人民医院临床诊断报告1365例手足口病患者的资料,对资料进行流行病学描述性分析,结合当地医疗卫生情况提出防控策略。结果:手足口病临床表现以发热(94.16%)、斑丘疹及水疱疹(89.42%)为主。1365例患者中有183例重症患者,无死亡病例手足口病的发病高峰在5月至9月,发病年龄以5岁及以下的婴幼儿为主,以散居和幼托儿童为主,性别比为1.92:1。疫情分布于顺德区4个街道和6个乡镇,以容桂(20.23%)、大良(15.9%)、伦教(13.77%)3个街道为主。结论:5岁及以下散居和幼托儿童是手足口病的高发人群,应作为重点人群强化疫情监测和普及健康教育。
OBJECTIVE: To analyze the epidemiological and clinical features of hand-foot-mouth disease and provide the basis for effective prevention and control measures. Methods: The clinical data of 1365 cases of HFMD in the First People’s Hospital of Shunde District of Foshan City in Guangdong Province were analyzed retrospectively. The data were analyzed descriptively by epidemiology and the prevention and control strategies were put forward according to the local medical conditions. Results: The clinical manifestations of HFMD were fever (94.16%), maculopapular rash and water blisters (89.42%). Among the 1365 patients, there were 183 severe cases. The death-free HFMD peaked from May to September. The age of onset was mainly infants and young children aged 5 years and below, with diaspora and kinder child. The sex ratio 1.92: 1. The outbreaks were distributed in 4 streets and 6 townships in Shunde District, with 3 streets of Ronggui (20.23%), Daliang (15.9%) and Lunjiao (13.77%). Conclusion: Diarrhea and nursery children aged 5 years and under are the high incidence of hand, foot and mouth disease and should be monitored and popularized health education as the key population.