临夏州2008年夏季儿童住院手足口病病例分析

目的了解临夏回族自治州2008年5月-7月住院儿童手足口病流行病学特征,为制定针对性的预防策略提供依据。方法收集2008年5月-7月临夏州州医院住院的全部儿童手足口病患者的病案资料,进行流行病学＂三间分布＂及临床特征描述。结果该地区儿童手足口病主要集中在1-5岁散居儿童及托幼儿童,以散居儿童为主;病例构成男童高于女童,农村病例高于城镇病例。临床表现方面,皮疹部位主要集中于手、足、口和臀,发热主要以有口腔溃疡的儿童及发病6 d前外出就餐的儿童为主。结论该地区儿童手足口病的流行以农村散居儿童为主,提高民众健康意识,加强农村三级卫生保健网建设依然是有效预防该病的关键措施。

Case study of hand,foot and mouth disease of hospitalized children in Linxia huiautonmnous prefecture in the summer of 2008

Objective To analyze the epidemiologic features of the hand-foot-mouth disease（HFMD） cases,in Linxia autonomous prefecture hospitals in the summer of 2008（between May and July）,and to know the regional factors,in order to provide the preventive measures and suggestions.Methods The cases of all the HFMD infants in Linxia Autonomous Prefecture hospitals were collected,May until July,2008,and the distribution and clinical features were described.Results The HFMD infants were concentrated on the scattered children between one and five years old.The proportion of boys were higher than the girls,while the country were higher than the town. Regarding the clinical manifestation,the rash was mainly emerged on the hand,foot,mouth and the stern,mostly accompanying with the symptom of the catarrh,and the fever was appeared on the children who were oral cankerous and dine out before six days of being sick.Conclusions Young children were mainly attacked by HFMD in this area,especially scattered children,and it is the main preventive strategy for the health menace to strengthen health consciousness in public and the structure net of the tertiary care hygiene in country.