濮阳市手足口病发病与就诊情况分析.docVIP

精品论文 参考文献 濮阳市手足口病发病与就诊情况分析 郭小芳 陈伟 刘颖　（ 河南省疾病预防控制中心信息科 河南 郑州 450016） 【摘要】 目的 了解濮阳市手足口病例发病与就诊情况。方法 对濮阳市采用分层随机抽样的原则抽取1县1区,对所抽取的县区2015年3月23日～4月13日网络直报病例完全随机抽取病例106例进行调查。结果 共调查106例，华龙区22例、台前县84例；轻症105例、重症1例。发病年龄以0～2岁为多，病程为6d，病例以仅出疹为主，部分出现发热，发热和出疹关系主要为先发热后出疹，发病后一般于当日或隔日就诊，轻症主要有1次就诊经历，重症有2次及以上就诊经历。结论 以轻症、仅出疹为主，低年龄儿童易发病；加强对基层医疗机构医护人员手足口病诊断及治疗的培训，是手足口病防治的关键。 　　【关键词】 手足口病；发病；就诊 　　Abstract ：Objective To understand the morbidity and clinical status of hand-foot-mouth disease (HFMD)in Puyang City. Methods Select a county and a district in Puyang City on the stratified random sampling and choice 106 cases from the cases of the city of the network reporting system during april 13 to 23 march 2009 according to random sampling technology ,then a retrospective analysis to the cases. Results 106 children with HFMD were selected , contained 105 general cases and 1 severe cases. Most of the HFMD children were 0～2 years old and course of disease was 6 days. The chief symptom was skin rash , some cases had fever symptom, the chief relation on fever and rash symptom of the cases was rash following fever; Most of the cases went to see a doctor in the first or second day after morbidity , most general cases went to see a doctor only once ,but most severe cases had two times or more. Conclusion The chief type is the general HFMD, the children under 2 years old is more infected and illed; Strengthen primary health care medical diagnosis and treatment of hand, foot and mouth disease training is the key to prevention and treatment of hand, foot and mouth disease. Keywords： Hand-foot-mouth disease; Morbidity; Clinical Status [ 中图分类号 ] R6 [ 文献标识码 ] B[ 文章编号 ] 　　截止2015年4月13日，濮阳市本年报告手足口病2173例，发病率为60.67/10万，居河南省第4位，以轻症病例为主。为尽快了解濮阳市手足口病的发病及就诊情况，及时采取有效地控制措施，降低手足口病的发病率，现对濮阳市报告的手足口病例进行了抽样调查，报告如下。 　　1 材料与方法 　　1.1 病例来源 2015年3月23日～2015年4月13日濮阳市通过《中国疾病预防控制信息系统》报告的手足口病病例。 　　1.2 调查内容 患者一般情况、既往史与疫苗接种情况、临床表现、就诊及用药情况。 　　1.3 抽样与调查方法 在濮阳市2015年3月23日～4月13日网络直报病例中，采用整群随机抽样的原则抽取华龙区和台前县，在华龙区