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[目的]探讨吕梁市离石区近4年手足口病流行特征,为今后防治工作提供科学依据。[方法]对2008~2011年离石区手足口病网络直报病例资料进行分析。[结果]2008~2011年累计报告手足口病618例,重症病例1例,无死亡病例,年均发病率为56.39/10万。报告发病率,2008年为138.85/10万,2009年为29.77/10万,2010年为56.60/10万,2011年为11.87/10万(P<0.01);城区为58.98/10万,乡镇为39.38/10万(P<0.01);男性为65.34/10万,女性为46.98/10万(P<0.01);0~5岁为543.37/10万,6~24岁为20.34/10万,>24岁为0.26/10万(P<0.01)。全部病人中,5~11月发病的占93.53%,散居和托幼儿童分别占68.93%、26.70%。[结论]吕梁市离石区手足口病的发病呈波浪高峰并趋于下降,发病有明显的地区、性别、年龄及季节差异。
[Objective] To explore the epidemiological characteristics of hand-foot-mouth disease in the past four years in Lishi city, which provided a scientific basis for future prevention and treatment. [Method] The data of cases of hand-foot-mouth disease reporting in Lishi area from 2008 to 2011 were analyzed. [Results] A total of 618 cases of hand, foot and mouth disease were reported in 2008-2011, 1 were severe cases without any deaths, the average annual incidence was 56.39 / 100 000. The reported incidence was 138.85 / lakh in 2008, 29.77 / lakh in 2009, 56.60 / lakh in 2010 and 11.87 / lakh in 2011 (P <0.01). The urban area was 58.98 / lakh and the township was 39.38 / 100000 (P <0.01). There were 65.34 / lakhs in males and 46.98 / lakhs in females (P <0.01), 543.37 / lakh in 0-5 years, 20.34 / lakhs in 6-24 years, The 24-year-old was 0.26 / 100,000 (P <0.01). All patients, 5 to 11 months accounted for 93.53%, scattered and child care accounted for 68.93%, 26.70%. [Conclusion] The incidence of HFMD in Lishi district of Luliang City peaked and tended to decrease with obvious regional, gender, age and seasonal differences.