738例小儿手足口病流行病学特征和临床分析

目的 了解本地区2013年1月至2014年12月小儿手足口病的临床流行特征.方法 对738例小儿手足口病进行临床流行病学分析.结果 本地区小儿手足口病发病明显增多,发病高峰为5-7月,好发于5岁以下儿童,其中以1～4岁最多见(73.7％).散居儿童多,有接触史者少,临床以轻症病例为主,并发扁桃体炎、支气管炎者较多见,实验室检查淋巴细胞增高多见;病毒感染以柯萨奇病毒A组16型(Cox A16)为主,预后良好.结论 只要采取严格的预防控制措施,小儿手足口病是可防可控的.

Epidemiological characteristics and clinical analysis of 738 cases of children with hand-foot-mouth disease

Objective To investigate clinical epidemiological characteristics of hand-foot-mouth disease (HFMD) in children of our region from January 2013 to December 2014.Method Carried out clinical epidemiological analysis for 738 children with HFMD.Results The incidence of HFMD in children of our region significantly increased.The peak was May-July,mostly found in children under 5 years old,of whom 1-4 years old was the most common (73.7％).Scattered children,contact history,clinical mild case,complicated with tonsillitis and bronchitis,lymphocytes increased of laboratory examination were common;coxsackievirus group A type 16 virus (Cox A16) was common,with good prognosis.Conclusion As long as strict prevention and control measures are taken,HFMD in children is preventable and controllable.