The Case Analysis Of282Hand-foot-month Disease Cases In One Hospital

Objective:This research plans to describe Hand-foot-mouth Disease (HFMD) on the age,sex, time of onset，clinical manifestation and other aspects and sum up the clinicalcharacteristics in the Tiexi District of Shenyang City from2012to2013. It canprovide scientific evidence and put forward reasonable suggestions for preventionand treatment of HFMD in this hospital.Methods:The282medical records of HFMD patients were collected. According topre-specified selection items, data were extracted from medical recordsretrospectively. The data about population basic situation, clinical manifestation andblood biochemical indexes were described and analyzed. T-test, u-test, One-WayANOVA, Chi-square test were used for analysis.Results:Among282cases, there were117males, accounting for60.6%,111femalesaccounting for39.4%. The infections occurred to infants aged from1year to5yearsmainly, accounting for89.72%, and most of which aged from3year to5years.Kindergarten children and urban children had a high risk for HFMD, accounting for63.83%and88.65%respectively. HFMD happens throughout the year, but summerand early autumn had a high incidence. The large number of patients occurred fromJune to September, accounting for89.36%. Most patients had the typical clinicalpresentations of fever, accounting for62.4%. The majority of children with rashlasted for6to8days, the rash parts were focused on hand, foot, mouth, hips. Thecomplications of HFMD is given priority to with bronchopneumonia. Antiviraldrugs were the major treatment. Tanreqing was used more widely, accounting for 84.04%. Most of the length of hospitalization lasted from6to8days, accounting for80.50%. There was a statistically significant difference between urban and rural（p=0.002）. The average length of hospitalization for urban children was6.67days,for rural children was5.30days. The rural children had shorter hospitalization timethan urban children. Meanwhile, there was a statistically significant differenceamong different medical payment methods （p<0.001）. The average lengthof hospitalization for Basic Medical Insurance for Urban Residents was6.94days,for The New Rural Cooperative Medical Insurance was6.78days and for OwnExpense was5.54days. The cases at their own expense had the shorterhospitalization time than those who had Basic Medical Insurance for UrbanResidents and The New Rural Cooperative Medical Insurance.Conclusions:(1) The children aged from1to5years old and kindergarten children were thekey objects and kindergarten places and children gathered units were the key places.(2) Most patients suffered HFMD in summer and early autumn.(3)During the HFMD process, most patients had the typical clinicalpresentations of fever. The complications of HFMD were given priority to withbronchopneumonia.(4) Tanreqing was used widely for treating HFMD.(5) The rural children had shorter hospitalization time than urban children. Thecases at their own expense had the shorter hospitalization time than those who hadBasic Medical Insurance for Urban Residents and The New Rural CooperativeMedical Insurance.