ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (2): 217-219.doi: 10.3969/j.issn.1674-3865.2016.02.031

• 调查研究 • 上一篇    下一篇

2010~2013年大连市手足口病28 479例分析

高艳慧,刘艳,孙頔   

  1. 116035 辽宁 大连,大连市妇女儿童医疗中心儿童综合病房
  • 出版日期:2016-04-25 发布日期:2018-11-19
  • 通讯作者: 刘艳,E-mail:ly88lxd@sina.com
  • 作者简介:高艳慧(1978-),女,医学硕士,主治医师。研究方向:小儿呼吸系统疾病的诊断与治疗

Analysis of 28 479 cases of hand-foot-and-mouth disease in Dalian from 2010 to 2013

GAO Yanhui,LIU Yan,SUN Di   

  1. Dalian Municipal Women and Children's Medical Center,Dalian 116035,China.
  • Online:2016-04-25 Published:2018-11-19

摘要:
目的:了解2010~2013年大连市手足口病流行病学特征及病原特点。
方法:对2010年1月至2013年12月大连市儿童医院诊治的手足口病28 479例进行临床资料分析。临床重症患儿粪便或咽拭子送检,主要检测EV71和CA16两种病原。观察各月份手足口病的发病情况,手足口病住院病例时间分布,手足口病重症病例时间分布,手足口病重症患儿肠道病毒检测结果:。
结果:以2012年最多,为7 587例。每年5月份开始增多,尤其每年6~8月期间发病人数占全年的7397%~8373%,2010~2012年高峰为7月份,而2013年为8月份,9月份明显下降。
结论:2010年手足口病重症最多与EV71感染相关;2012年手足口病患病病例数量最大,可能与CA16感染相关;2013年不典型手足口病例多,且发病高峰从2010~2012年的7月份后移至8月份,可能与CA6感染相关。

关键词: 手足口病, 流行病学特征, 病原特点, 儿童

Abstract:
Objective:To understand epidemiological characteristics and pathogenic features of hand-foot-and-mouth disease in Dalian from year of 2010 to 2013.
Methods:Analyze clinical data of 28 479 hand-foot-and-mouth disease cases treated in Dalian Children′s Hospital from January 2010 to December 2013.Clinical severe children′s feces or throat formula was sent for detection,and the two pathogens of EV71 and CA16 were detected.Observe the status in each month of hand-foot-and-mouth disease,time distribution of in-patient cases and severe hand-foot-and-mouth disease cases,and result of severe children′s enterovirus.
Results:The largest quantity of cases was 7 587 in year of 2012,and this number increased each year in May,and the infection number occupied 7397%~8373% of the whole year, especially from June to August every year.The infection peak month was in July from 2010 to 2012 and August in 2013,and it declined obviously in September.
Conclusion:Most cases of hand-foot-and-mouth disease in 2010 are associated with EV71 infection and the largest quantity of hand-foot-and-mouth disease case is in year of 2012 which is probably associated with CA16 infection.Most atypical hand-foot-and-mouth disease cases are in 2013 and disease peak moves from July of 2010~2012 to August of 2013,which is probably associated with CA6 infection.

Key words: Hand-foot-and-mouth disease, Epidemiological characteristics, Pathogenic features, Children