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[目的]了解安阳市手足口病流行特征,以便科学制定防控策略。[方法]对2009年安阳市手足口病疫情资料进行分析。[结果]2009年全市报告病例4420例,报告发病率为81.83/10万。病例中,重症病例21例,占0.48%;死亡1例,病死率为0.23‰。4420例病例分别在2～12月发病,其中4～6月发病3397例、重症17例,分别占76.86%、80.95%。年发病率,男性为104.33/10万,女性为58.68/10万(P<0.01);≤3岁为1239.13/10万,>3岁为13.68/10万(P<0.01);城区为221.91/10万,农村为57.40/10万(P<0.01)。检测77例病人的粪便标本,EV71病毒核酸阳性的占55.84%,CoxA16病毒核酸阳性的占7.79%,其他肠道病毒核酸阳性的占29.87%。[结论]2009年安阳市手足口病发病率高,疫情分布面广,病情重。
[Objective] To understand the epidemiological characteristics of hand-foot-mouth disease in Anyang, in order to formulate prevention and control strategies scientifically. [Method] The epidemic situation of hand, foot and mouth disease in Anyang City in 2009 was analyzed. [Results] In 2009, 4420 cases were reported in the city and the reported incidence was 81.83 / 100000. In the cases, 21 cases were severe cases, accounting for 0.48%; 1 case died, the case fatality rate was 0.23 ‰. 4420 cases were onset in 2 ~ December, of which 3,997 cases occurred in 4 ~ June and severe cases were 17 cases, accounting for 76.86% and 80.95% respectively. The annual morbidity was 104.33 / lakh in males and 58.68 / lakh in females (P <0.01); 1239.13 / lakh in 3 years old and 13.68 / lakh in 3 years old (P <0.01) 100,000 in rural areas and 57.40 / 100,000 in rural areas (P <0.01). The stool samples of 77 patients were detected. The positive rate of EV71 was 55.84%, that of CoxA16 was 7.79%, and that of other enterovirus was 29.87%. [Conclusion] The incidence rate of hand-foot-mouth disease in Anyang in 2009 is high, the epidemic situation is widespread and the disease is serious.