本文選題：手足口病 + 流行特征　； 參考：《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年10期

【摘要】：目的分析2009-2014年內(nèi)蒙古地區(qū)手足口病的時(shí)空分布特征,為手足口病的防控以及衛(wèi)生資源的合理配置提供科學(xué)依據(jù)。方法利用R軟件對(duì)2009-2014年內(nèi)蒙古手足口病監(jiān)測(cè)數(shù)據(jù)進(jìn)行描述性流行病學(xué)分析。采用基于離散Poisson模型的時(shí)空掃描統(tǒng)計(jì)量,使用Sa TScan 9.1軟件完成時(shí)空聚集性?huà)呙璺治?掃描空間單位為內(nèi)蒙古的102個(gè)旗縣區(qū),掃描時(shí)間單位為月,跨度從2009年1月-2014年12月,由Arc GIS 10.2軟件進(jìn)行掃描結(jié)果的可視化展示。結(jié)果描述性分析結(jié)果顯示,內(nèi)蒙古地區(qū)手足口病的發(fā)病率呈現(xiàn)明顯的季節(jié)性變化規(guī)律,每年的5月-7月為手足口病的異常高發(fā)時(shí)間,且每年的發(fā)病呈雙峰分布,第二發(fā)病高峰出現(xiàn)在每年的9月-11月;0~5歲年齡組兒童是主要的發(fā)病病例,所有病例中散居兒童占59.99%,男性?xún)和陌l(fā)病率明顯高于女性?xún)和�。Sa TScan時(shí)空掃描分析顯示,手足口病發(fā)病存在明顯的時(shí)空聚集性,時(shí)間維度為6-7月,空間維度上分別掃描出3、3、7、2、3和3個(gè)手足口病聚集區(qū)域。結(jié)論2009-2014年內(nèi)蒙古地區(qū)手足口病西南地區(qū)高發(fā),5-7月是主要流行高峰,發(fā)病存在時(shí)空聚集性,季節(jié)性發(fā)病規(guī)律明顯,聚集區(qū)存在于內(nèi)蒙古中東部和西南。
[Abstract]:Objective to analyze the spatial and temporal distribution characteristics of hand foot and mouth disease (HFMD) in Inner Mongolia in the past 2009-2014 years, and to provide scientific basis for the prevention and control of hand foot and mouth disease and the rational allocation of health resources. Methods the data of Inner Mongolia hand foot and mouth disease monitoring were analyzed by R software in 2009-2014 years. Measurement, using Sa TScan 9.1 software to complete the spatial and temporal aggregation scanning analysis. The scanning space unit is the 102 flag county area of Inner Mongolia, the scanning time unit is month, the span from January 2009 -2014 December, the visual display of the scanning results by the Arc GIS 10.2 software. Results descriptive analysis results show the hair and foot and mouth disease in Inner Mongolia area. The incidence of the disease showed an obvious seasonal variation. The year of May -7 month was an abnormal high incidence of hand foot and mouth disease, and the annual incidence of the disease was in Shuangfeng. The peak of second was in the -11 month of September. The children in the age group of 0~5 age were the main cases, the scattered children in all cases accounted for 59.99%, and the incidence of male children was obviously higher than that of the male children. The time and space scanning analysis of.Sa TScan showed that there was obvious spatial and temporal aggregation of hand foot and mouth disease. The time dimension was 6-7 months, 3,3,7,2,3 and 3 hand foot and mouth disease aggregation areas were scanned in spatial dimension. Conclusion the high incidence of hand foot and mouth disease in Inner Mongolia area was high in the southwest of the 2009-2014 year, and the main epidemic peak was 5-7 months, and the occurrence and time of the disease existed in time and space. The regularity of aggregation is seasonal, and the aggregation area exists in the Middle East and southwest of Inner Mongolia.

【作者單位】： 內(nèi)蒙古工業(yè)大學(xué)理學(xué)院;內(nèi)蒙古醫(yī)科大學(xué);內(nèi)蒙古自治區(qū)疾病預(yù)防控制中心;內(nèi)蒙古呼和浩特市統(tǒng)計(jì)局;
【基金】：國(guó)家自然科學(xué)基金項(xiàng)目(81360213) 內(nèi)蒙古自然科學(xué)基金項(xiàng)目(2015MS0104,2015MS0818,2013MS1147)
【分類(lèi)號(hào)】：R181.3;R725.1

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