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目的掌握沈阳市铁西区手足口病发病强度和流行趋势,为制订预防控制措施提供准确依据。方法利用描述流行病学方法分析该区手足口病疫情资料。结果 2009—2010年手足口病年均报告发病率为121.73/10万,各年度报告发病率差异有统计学意义(P<0.01);男性年均报告发病率为143.41/10万,女性年均报告发病率为100.12/10万(P<0.01),男女性别比为1.43∶1;6—9月报告发病占病例总数83.93%,实验室诊断病例25例,其中EV71病毒感染占56%;散居儿童、幼托儿童2项职业报告手足口病病例数分别占病例总数的49.47%和46.57%,0～5岁年龄组占病例总数93.77%。结论该区手足口病夏秋季发病高峰及职业高峰明显,呈典型的婴幼儿发病高峰。该区应加强组织领导,做好卫生宣教工作,提高预防控制意识和水平,加强疫情动态监测,有效控制疫情蔓延。
Objective To grasp the intensity and epidemic trend of HFMD in Tiexi District of Shenyang City and provide an accurate basis for formulating prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the epidemic situation of HFMD in this area. Results The annual incidence rate of hand-foot-mouth disease was 121.73 / lakh in 2009-2010, with a significant difference in the annual reports (P <0.01). The average annual reported rate was 143.41 / lakh in males, The reported incidence was 100.12 / 100000 (P <0.01), male to female sex ratio was 1.43: 1; 6 to 9 months reported the incidence of the total number of cases accounted for 83.93%, laboratory diagnosis of 25 cases, of which EV71 virus infection accounted for 56%; scattered There were 49.47% and 46.57% of HFMD cases in children and kindergarten children, respectively, and 93.77% of cases in 0-5 year-old age group. Conclusion The onset and peak of occupational peak of hand-foot-mouth disease in summer and autumn in this area are obvious, with the peak of typical infant and infancy incidence. The district should strengthen the organization and leadership, do a good job of education on health, raise the awareness and level of prevention and control, strengthen the dynamic surveillance of the epidemic and effectively control the spread of the epidemic.