论文部分内容阅读
目的调查研究杭州市萧山地区儿童手足口病(HFMD)患病流行特征分析以及其发生的危险因素,为HFMD的防治提供理论依据。方法利用杭州市萧山地区2012-2014年儿童HFMD患者的病历资料对HFMD的流行特征进行分析,并分析儿童HFMD发生的危险因素。结果三年共发生8 094例,其中2012年2 168例(发病率284.5/10万),2013年2 656例(发病率332.7/10万),2014年3 270例(发病率363.4/10万),发病率逐年明显增加(P<0.05);其中男性4 840例,女性3 254例,男女性别比1.49:1;2-4月和8-10月发病例数明显多于5-7月和11-1月(P<0.05);1~2岁年龄段儿童占比最高为30.8%(2 495/8 094);多因素Logistic回归分析显示,年龄、散居儿童、就医延迟、居住地卫生状况不良、病毒类型(EV71)因素为HFMD发生的危险因素(P<0.05)。结论 2012-2014年杭州市萧山地区儿童HFMD患病率呈逐年递增趋势,且多发于春秋季,年龄(1~2岁)、散居儿童、就医延迟、居住地卫生状况差及病毒类型(EV71)是HFMD发生的危险因素。
Objective To investigate the epidemiological characteristics of HFMD and its risk factors in Xiaoshan area, Hangzhou, so as to provide a theoretical basis for the prevention and treatment of HFMD. Methods The epidemiological characteristics of HFMD were analyzed using the medical records of children with HFMD from 2012 to 2014 in Xiaoshan, Hangzhou. The risk factors of HFMD in children were analyzed. Results A total of 8 094 cases occurred in three years, of which 2 168 cases (284.5 / 100 000 cases) in 2012, 2 656 cases (332.7 / 100 000 cases) in 2013, 3 270 cases (363.4 / 100 000 cases in 2014) ), The incidence increased year by year significantly (P <0.05); of which 4 840 cases of males and 3 254 females, male to female ratio of 1. 49: 1; 2-April and 8-10 months, the incidence was significantly more than May-July And 11-January (P <0.05). The highest proportion of children aged 1-2 years old was 30.8% (2 495/8 094). Logistic regression analysis showed that age, diaspora, delayed medical treatment, residence hygiene The condition was poor, and the type of virus (EV71) was a risk factor for HFMD (P <0.05). Conclusions The prevalence of HFMD in Xiaoshan district of Hangzhou City increased year by year from 2012 to 2014, and more frequently occurred in spring and autumn, age (1-2 years), scattered children, delayed medical treatment, poor sanitary conditions and virus type (EV71) Is a risk factor for HFMD.