摘要
目的调查定西市安定区2008—2016年手足口病的发病情况,调查导致手足口病患者死亡的主要危险因素。方法对定西市安定区2008—2016年手足口病疫情资料与临床相关资料进行回顾性调查,记录发病区域、时间、年龄、职业,分析手足口病患者死亡的主要危险因素。结果定西市安定区2008—2016年共报告手足口病1 750例,发病率为32.79/10万,其中2012年发病人数为547例,发病率为129.73/10万。男1 088例,女662例,2012年的男女性别比最高,是2.13∶1;0~3岁年龄阶段发病率最高,为75.71%;儿童和学生的发病率为99.49%,占最大比重。发病区域前3名是内官镇、永定路社区、中华路社区。1 750例患者中死亡1例,死亡率为0.057 1%。多因素条件Logistic回归模型分析显示病程、年龄、痉挛为导致定西市安定区2008—2016年手足口病患者预后死亡的独立因素(P<0.05)。结论定西市安定区2008—2016年共报告手足口病1 750例,发病率为32.79/10万,其中2012年的发病率为129.73/10万,是这9年中发病率最高的年份;定西市安定区2008—2016年手足口病多发生于男性、0~3岁的儿童和学生,城区多发;病程、年龄、痉挛为导致患者死亡的主要危险因素。
Objective To investigate the incidence of hand foot mouth disease(HFMD)in Anding District of Dingxi City from2008to2016,and to explore the main factors leading to the death of HFMD patients.Methods The epidemic situation and clinical data of HFMD cases in during2008and2016were retrospectively analyzed.The onset region,time,age,and so on were recorded.Results A total of1750HFMD cases were reported,the incidence rate being32.79/100000.As many as547cases were reported in2012,the incidence rate being129.73/10000.Of all patients,1088were male and662were female.In2012,the male/female ratio was the highest(2.13'1).The incidence was the highest in0-3year age group,accounting for75.71%of all cases.The incidence was highest among children and students,accounting for99.49%of all cases.The top3affected areas were Neiguan Town,Yongding Road Community,and Zhonghua Road Community.Death occurred in1case of all1750patients,and the mortality rate was0.0571%.Multivariate conditional logistic regression analysis showed that the course of disease,age,and spasticity were the independent factors leading to the death of HFMD(P<0.05).Conclusion During2008and2016,HFMD occurred most in boys aged0-3years living in the urban area The course of disease,age,and spasticity were the independent risk factors leading to death.
作者
罗娟
杨青
LUO Juan;YANG Qing(Center for Disease Control and Prevention of Anding District,Dingxi743000;Dingxi Hospital,Second People's Hospital of Lanzhou University ,Dingxi743000, China)
出处
《国外医学（医学地理分册）》
CAS
2017年第4期339-342,共4页
Foreign Medical Sciences：Section of Medgeography
关键词
定西市安定区
手足口病
流行病学
危险因素
Anding District in Dingxi City
hand foot mouth disease
epidemiology
risk factor
