Epidemiology analysis of hand-foot-and-mouth disease in a third level and grade A hospitals of Anhui Province from 2010-2016
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摘要: 目的 分析2010-2016年安徽省某三甲医院监测的手足口病的流行病学特征,为科学制定防控体系提供依据。 方法 数据来源于"中国疾病预防信息系统"中的"传染病报告信息管理系统",采用描述流行病学方法对数据进行分析,使用Excel整理数据,SPSS 22.0统计软件进行统计学处理,采用χ2检验。 结果 2010-2016年共报告手足口病病例数5 731例,2010-2012年呈现逐年上升,2013-2016年呈现隔年增高的趋势。男女性别比为1.82:1;发病人群多集中在3岁以下儿童(78.87%,4 520/5 731),各年度各年龄组发病人群分布差异有统计学意义(χ2=92.415,P=0.018)。对各年度各年龄组发病人群趋势进行统计学处理,差异无统计学意义(χ趋势2=0.160,P=0.689)。发病人群以散居儿童为主(92.97%,5 328/5 731),各年次发病人群分布差异有统计学意义(χ2=193.512,P<0.001),各年次发病人群分布趋势行统计学处理,差异无统计学意义(χ趋势2=2.546,P=0.111)。全年均有确诊病例上报,4-7月为发病高峰期(64.56%,3 700/5 731),呈现出明显的"单峰"规律,各年度各月份发病数差异有统计学意义(χ2=826.958,P<0.001),对各年度各月份发病趋势行统计学处理,差异无统计学意义(χ趋势2=0.207,P=0.649)。报告人群多集中在本市市区及所辖三县(72.78%,4 171/5 731)。 结论 手足口病的流行呈现出隔年上升趋势,季节性明显,人群分布明确,应重视3岁以下散居儿童的健康教育,高危季节积极做好防控工作。Abstract: Objective To analyze the epidemiologic features of children hand-foot-and-mouth disease (HFMD) in a third level and grade A hospitals of Anhui Province from 2010 to 2016, and provide scientific bases for the prevention of HFMD. Methods The website information and data of children HFMD from 2010 to 2016 collected by Chinese Center For Disease Control And Prevention were analyzed with descriptive epidemiological methods; Excel and SPSS 22.0 were used for χ2 test. Results Total 5 731 cases of HFMD were reported in the hospital from 2010 to 2016, from 2010-2012, it showed increased year by year, from 2013-2016, it showed an increasing trend next year. The sex ratio of men and women was 1.82:1. The prevalence of the disease was concentrated in children under the age of 3 years (78.87%, 4 520/5 731), with significant differences in the distribution of the disease by age group over the years (χ2=92.415, P=0.018). Statistical treatment of population trends by age group was performed, without statistical significance trend (χtrend2=0.160, P=0.689). With the majority of children living in the diaspora (92.97%, 5 328/5 731), There were significant differences in the distribution of the population in each year (χ2=193.512, P<0.001), and there was no statistical significance (χtrend2=2.546, P=0.111). Confirmed cases were reported throughout the year, with the peak in April-July (64.56%, 3 700/5 731) showing a significant 'single peak' pattern, with statistically significant differences in the number of cases in each month of the year (χ2=826.958, P<0.001), and no statistically significant trend in each month of the year (χtrend2=0.207, P=0.649). The reporting population was concentrated in the urban areas of the city and the three counties (72.78%, 4 171/5 731). Conclusion The prevalence of HFMD shows the trend of rising every other year, seasonal obvious, the population distribution is clear. We should pay more attentions to the health education of children under 3 years old in the diaspora, in the high-risk season to do a good job in prevention and control.
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Key words:
- Hand, foot, and mouth disease /
- Children /
- Epidemiology
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