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目的研究南京市鼓楼区手足口病的流行特征,为手足口病防控提供依据。方法采用描述流行病学方法,对2013—2015年鼓楼区手足口病监测数据进行分析。结果 2013—2015年累计报告5 206例,年平均发病率为134.50/10万。发病高峰为4—7月份,10—11月份为次高峰。≤5岁儿童病例占发病总数的90.91%,男性发病率为156.18/10万,女性为111.81/10万,性别间差异有统计学意义(χ~2=141.157,P<0.01)。重症病例40例。实验室确诊病例71例,其中EV71阳性15例,Cox A16阳性14例,其他肠道病毒阳性42例。结论鼓楼区手足口病发病有明显的季节、年龄和性别分布特征,因此,要采取有针对性的综合防控措施。
Objective To study the epidemiological characteristics of hand, foot and mouth disease in Gulou District, Nanjing City, and to provide basis for the prevention and control of hand, foot and mouth disease. Methods Descriptive epidemiological methods were used to analyze the hand-foot-mouth disease surveillance data in Gulou District from 2013 to 2015. Results A total of 5 206 cases were reported in 2013-2015, with an average annual incidence of 134.50 / 100,000. Peak incidence for the April-July, 10-11 months for the second peak. The incidence of children less than 5 years old accounted for 90.91% of the total number of cases. The incidence of males was 156.18 / 100000 and the number of females was 111.81 / 100000. The difference was statistically significant (χ ~ 2 = 141.157, P <0.01). 40 cases of severe cases. Laboratory confirmed 71 cases, of which EV71 positive in 15 cases, Cox A16 positive in 14 cases, 42 cases of other enterovirus positive. Conclusion The incidence of HFMD in Gulou District has obvious seasonal, age and sex distribution characteristics. Therefore, comprehensive and targeted prevention and control measures should be taken.