本文選題：手足口病 + 發(fā)病率　； 參考：《中華疾病控制雜志》2017年10期

【摘要】：目的分析2009-2016年內蒙古地區(qū)重癥手足口病的流行特征以及時空分布特征,明確防控工作的重點地區(qū)、時間、人群,進而降低重癥病例的發(fā)生。方法對收集到的2009-2016年內蒙古手足口病監(jiān)測數據中的重癥病例進行流行病學和時空聚集性分析。結果 2009-2016年重癥病例發(fā)生率呈先升后降趨勢,2011年是8年間重癥發(fā)生率的峰值。重癥手足口病的發(fā)病年齡主要集中在0~3歲年齡組,其中散居兒童最多,男性兒童的發(fā)病率高于女性兒童。重癥手足口病每年的高發(fā)時間為6~7月。2009-2016年,累計報告重癥手足口病病例1 278例,占總病例的0.78%,8年年均重癥發(fā)病率50.70/100萬。腸道病毒71型(EV71)是引起手足口病重癥病例的主要病原體。重癥手足口病發(fā)病存在明顯的時空聚集性,時間維度為5~7月,空間維度上主要分布在內蒙古的中部和西南地區(qū)。結論內蒙古地區(qū)重癥手足口病的發(fā)病具有時空聚集性,發(fā)病強度具有地區(qū)差異性,氣候可能為疫情高發(fā)的相關因素。3歲以下兒童是主要發(fā)病人群,需加強對年齡較小患者的重癥預防,以減少重癥病例的發(fā)生。
[Abstract]:Objective to analyze the epidemic characteristics and temporal and spatial distribution of severe hand, foot and mouth disease (HFMD) in Inner Mongolia from 2009 to 2016, to determine the key areas, time and population of prevention and control, and then to reduce the incidence of severe cases. Methods Epidemiology and temporal and spatial aggregation of severe cases collected from the surveillance data of hand, foot and mouth disease from 2009 to 2016 in Inner Mongolia were analyzed. Results the incidence of severe cases increased first and then decreased in 2009-2016, and the peak of severe cases occurred in eight years in 2011. The onset age of severe HFMD was mainly in 0 ~ 3 years old group, the most of which were scattered children, and the incidence of male children was higher than that of female children. The annual high incidence of severe hand-foot-mouth disease was from June to July 2009-2016. A total of 1,278 severe HFMD cases were reported, accounting for 0.78% of the total cases. The average annual incidence of severe HFMD in 8 years was 50.70 / 1 million. Enterovirus 71 (EV 71) is the main pathogen of hand, foot and mouth disease (HFMD). The time dimension of severe HFMD is from 5 to 7 months. The spatial dimension is mainly distributed in the middle and southwest of Inner Mongolia. Conclusion the incidence of severe hand, foot and mouth disease in Inner Mongolia is spatiotemporal and temporal aggregation, and the intensity of disease is different in different regions. Climate may be the related factor of high incidence of HFMD in Inner Mongolia, and children under the age of 3 years old may be the main affected population. Intensive prevention for younger patients is needed to reduce the incidence of severe cases.
【作者單位】： 內蒙古工業(yè)大學理學院數學系;內蒙古醫(yī)科大學附屬醫(yī)院超聲科;內蒙古自治區(qū)疾病預防控制中心傳防所;內蒙古呼和浩特市統計局;
【基金】：國家自然科學基金(81360213) 內蒙古自然科學基金(2015MS0104,2015MS0818)
【分類號】：R181.3;R725.1
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本文編號：1838132