福州地区社区儿童手足口病流行特征与危险因素研究.docVIP

福州地区社区儿童手足口病流行特征与危险因素研究 　　[摘要] 目的 探讨福州地区社区儿童手足口病流行特征和危险因素。方法 方便收集2014年4月―2017年3月于福州市第一医院门诊接受诊疗的社区儿童手足口病患儿1 994例，分析其流行特征及相关危险因素。 结果 ①流行病学特征：手足口病发病年龄范围在1～2岁时最高，达25.13%；男性手足口病患儿患病率为59.98%，显著高于女性患儿的40.02%（P0.05）；手足口病患儿在5～7月份发病人数最多。②经多元Logistic回归分析，结果表明：散居儿童、饭前便后少/不洗手、近1周共用玩具以及有病例接触史4项因素为影响儿童手足口病发病的主要危险因素。结论 通过对本地区社区儿童手足口病监测数据进行分析，调查福州地区社区儿童手足口病的流行病特征以及相关危险因素，为手足口病的防治工作提供科学依据和手段。 　　[关键词] 手足口病；流行病学特征；福州地区；危险因素 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0038-03 　　[Abstract] Objective This paper tries to investigate the epidemic characteristics and risk factors of children with hand-foot-and-mouth disease in community in Fuzhou area. Methods Convenient selection a total of 1 994 children with hand-foot-and-mouth disease were collected from the outpatient clinic of the First Hospital of Fuzhou from April 2014 to March 2017. The epidemic characteristics and related risk factors were analyzed. Results ①Epidemiological characteristics： the highest frequency of hand-foot-and-mouth disease was at the age range of one to two years old， up to 25.13%； the prevalence rate of hand-foot-and-mouth disease for male children was 59.98%， significantly higher than that of 40.02% in female children （P0.05）； the most frequency period of hand-foot-and-mouth disease was from May to July.②By multivariate Logistic regression analysis， it showed that the scattered children， without washing hands before or after meals， sharing toys for nearly a week and exposure of the case history， the above four factors were the main risk factors affecting hand-foot-and-mouth disease in children. Conclusion Based on the analysis of the monitoring data of hand-foot-and-mouth disease in children in the community， the epidemiological characteristics and related risk factors of hand-foot-mouth-disease in community children in Fuzhou have been investigated， which has provided scientific evidence for the prevention and treatment of hand-foot-and-mouth disease. 　　[Key words] Hand-foot-and-mouth disease； Ep