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目的:对小儿手足口病的流行病学特征及预防策略进行探讨与分析。方法:回顾性分析2012年9月到2014年2月我县住院治疗的128例手足口病患儿的临床资料,观察流行病学、具体临床表现以及治疗与转归情况。结果:5岁以下的儿童发病率最高,占96.9%(124/128),构成比最高的为3岁以下的患儿。1.34∶1为男女比例,男性患儿要比女性患儿多;发病季节多集中在4-11月,其中4-6月为发病高峰期。引发手足口病肠道病毒最多的为肠道病毒71(EV71)和柯萨奇病毒A16型(CoxA16)。结论:要积极做好手足口病高发季节的防控工作,使发病率得到降低,其中要想使小儿手足口病的治疗效果得到提高,早诊断与早治疗是关键所在。
Objective: To investigate and analyze the epidemiological characteristics and prevention strategies of hand-foot-mouth disease in children. Methods: The clinical data of 128 HFMD children hospitalized from September 2012 to February 2014 in our county were retrospectively analyzed. Epidemiology, specific clinical manifestations, treatment and outcome were observed. Results: The incidence of children under 5 years old was the highest, accounting for 96.9% (124/128), the highest proportion of children under 3 years of age. 1.34: 1 male to female ratio, male children than women with more children; season of onset and more concentrated in the 4-11 months, of which 4 to 6 months for the peak incidence. Enterovirus 71 (EV71) and Coxsackie A16 (CoxA16) are the most common enterovirus causing HFMD. CONCLUSIONS: Prevention and control of hand-foot-mouth disease in high season should be actively carried out so that the incidence rate will be reduced. In order to improve the therapeutic effect of hand-foot-mouth disease in children, early diagnosis and early treatment are the key points.