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目的掌握沈阳市手足口病发病强度和流行特征。方法利用描述流行病学对沈阳市疾病监测信息管理报告系统的手足口病疫情资料进行分析。结果 2009~2015年手足口病报告发病共53 757例,年均报告发病率为96.53/10万,2009~2015年报告发病数分别为7 499、7 234、4 934、9 069、8 663、9 551、6 807例,报告发病率分别为101.31/10万、97.73/10万、60.87/10万、111.16/10万、106.04/10万、116.10/10万、82.73/10万,各年度报告发病率差异有统计学意义(P<0.01);男性发病率(113.39/10万,31 957例)高于女性发病率(79.25/10万,21 800例)(P<0.01);EV71型、Cox A16型、其他肠道病毒分别占实验室诊断病例的31.11%、35.69%、33.20%;6~8月报告发病数占全年报告发病数的76.99%;散居儿童、幼托儿童报告手足口病病例数分别占全部报告发病数的50.73%(27 270例)、43.12%(23 181例);0~5岁年龄组报告发病数占发病总数90.30%(48 540例)。结论 2009~2015年沈阳市手足口病呈典型的夏季发病高峰;散居儿童、幼托儿童发病为主。
Objective To grasp the incidence and prevalence of HFMD in Shenyang City. Methods Descriptive epidemiology was used to analyze the epidemic situation of hand, foot and mouth disease in Shenyang Disease Surveillance Information Management Reporting System. Results The incidence of HFMD reported 53 757 cases from 2009 to 2015, with an average annual incidence of 96.53 / 100 000 and reported incidences of 7 499, 7 234, 4934, 9 069, 8 663 respectively from 2009 to 2015, 9 551,6 807 cases, the reported incidence rates were 101.31 / 100000, 97.73 / 100000, 60.87 / 100000, 111.16 / 100000, 106.04 / 100000, 116.10 / 100000, 82.73 / 100000, the annual reports (P <0.01). The morbidity rate of male (113.39 / 100000, 31957) was higher than that of female (79.25 / 100000, 21 800) (P <0.01) Cox type A16 and other enterovirus accounted for 31.11%, 35.69% and 33.20% of laboratory diagnostic cases respectively. The number of reported cases in June-August accounted for 76.99% of the total number of reported cases in the year. Diaspore and kindergarten children reported hand, foot and mouth The number of reported cases accounted for 50.73% (27 270 cases) and 43.12% (23 181 cases) for all reported cases respectively. The reported incidence in the 0-5 year-old group was 90.30% (48 540 cases). Conclusion From 2009 to 2015, hand, foot and mouth disease in Shenyang City is the typical peak in summer. The incidence of diaspora and kindergarten children is mainly in summer.