【摘要】 目的探讨济南市手足口病发病流行病学特征,为有效控制手足口病的流行,制定控制措施提供科学依据。方法利用描述性流行病学方法对济南市2005-2007年手足口病发病资料进行流行病学分析。结果济南市2005-2007年共报告手足口病6 669例,2007年发病率达到101.74/10万,发病城区高于农村,以城乡结合部发病最多;5～7月发病占全年发病的81.54%,6月份为高峰月;发病人群集中于10岁以下,其中1～4岁发病占77.96%,职业分布主要为散居儿童和托幼儿童,男性发病高于女性。2007年在托幼机构出现暴发疫情,调查21家发病较多的幼儿园,平均罹患率为5.56%。部分住院病例调查主要表现为发烧、手足臀及口腔疱疹,发现1例并发脑炎病例。结论预防手足口病引起的危害应采取两个方面的措施:一是从传染病流行的三个环节入手采取综合性措施,预防与控制该病的发生和流行强度;二是加强该病的医疗救治,减少或避免由于发生并发症而引起的死亡。更多还原

【Abstract】 Objective To explore the epidemiological characteristics of hand-foot-mouth disease(HFMD)in city of Jinan,and to provide scientific basis for preventive measures.MethodsDescriptive epidemiological approaches were used to analyze the epidemic data of HFMD from 2005 to 2007.ResultsAll 6 669 cases of HFMD were reported in Jinan city from 2005 to 2007,with the incidence of 101.74/100 000 in 2007.The cases mainly concentrated in the rural-urban continuum.81.54% of the patients occurred during May to July,and June was the peak month.People aged below 10 years were most easily affected,in particular,children between 1 and 4 years accounted for 77.96% of all cases.Scattered and nursery children accounted for 47.59% of the cases.The ratio of male to female was 1.59∶1.There were outbreaks occurred in nurseries in 2007,and the average attack rate was 5.56% in 21 main nurseries.Fever,herpes on hand,foot,hip or oral were the main symptoms of the cases.And a case complicated with encephalitis was found.ConclusionTwo preventive and control measures were recommended:first,comprehensive measures should be taken to cut off the epidemic;second,medical treatment should be strengthened to reduce complications and death.更多还原