岳阳市大中小学生肠道寄生虫感染状况及危险因素分析

发布时间：2018-02-08 23:12

本文关键词： 肠疾病寄生虫性感染危险因素学生　出处：《中国学校卫生》2017年06期 　论文类型：期刊论文

【摘要】：目的了解岳阳市部分大中小学生肠道寄生虫病感染现状,为进一步制定防治策略提供依据。方法分层随机抽查岳阳市大中小学校5所,每年级随机抽查2个班,采用改良加藤厚涂片(Kato-Katz)法,粪便检查虫卵。钩虫培养采用试管滤纸培养法。采用问卷调查法调查学生卫生知识和健康行为情况。结果共调查1 545名大中小学生,肠道寄生虫感染率小学(3.27%)中学(2.42%)大学(1.91%),随学生学段增高而降低(χ~2=2.54,P0.05)。肠道寄生虫虫种感染率蛔虫(2.65%)钩虫(1.49%)鞭虫(0.13%)及姜片虫(0.13%)华支睾吸虫(0.06%)。城市学生感染率(2.21%)低于农村学生(3.28%),男生感染率(2.65%)略低于女生(2.66%)(χ~2值分别为1.67,0.00,P值均0.05)。小学、中学与大学肠道寄生虫病防治知识知晓率分别为87.07%,95.00%,97.13%,健康行为形成率分别为84.94%,94.03%,94.90%,且均随学生学段增高而增高,学段间差异均有统计学意义(χ~2值分别为40.12,39.58,P值均0.01)。肠道寄生虫病防治知识知晓率与健康行为形成率之间呈正相关(r=0.99,P0.05)。经常吃未洗瓜果、经常喝生水、经常饭前便后不洗手、经常生熟食物共用砧板、经常光脚旱地干活是肠道寄生虫病感染的危险因素[OR值(OR值95%CI)分别为6.14(3.22~11.73),4.13(2.10~8.14),3.74(1.95~7.18),2.64(1.41~4.93),2.45(1.32~4.57),P值均0.01]。结论蛔虫与钩虫是岳阳市在校学生肠道感染的主要寄生虫种,小学生是重点防治对象。要继续坚持驱虫治疗,加强水及粪便管理,加强健康教育及培养个人良好文明卫生习惯的多种综合防治措施。
[Abstract]:Objective to understand the present situation of intestinal parasitic infection among some middle and high school students in Yueyang City, and to provide the basis for further making prevention and cure strategies. Methods five schools in Yueyang City were randomly selected and 2 classes were randomly selected every year. A modified Kato-Katz method was used to examine eggs in feces. The culture of hookworm was carried out by using test tube filter paper. The hygienic knowledge and health behavior of students were investigated by questionnaire. Results 1 545 students were investigated. The infection rate of intestinal parasites in primary school (2.27) and middle school (2.42)) at the university level 1.91is decreased with the increase of students' academic level (蠂 ~ (2 / 2) 2.54 (P) 0.05) and the infection rate of hookworm is 0.1313) and the rate of infection of turmeria (0.13) is 0.066.The infection rate of urban students is lower than that of rural students (2.21%). The infection rate of urban students is lower than that of rural students (2.21%). The infection rate of Clonorchis sinensis is lower than that of urban students (2.21%). The infection rate of boys was slightly lower than that of girls (蠂 ~ 2 = 1.67%, P = 0.05). The awareness rates of intestinal parasitosis prevention knowledge in middle school and university were 87.07 and 95.00, respectively, and the rate of health behavior formation were 84.94 and 94.03, respectively, and they all increased with the increase of students' learning level. There were significant differences among the learning stages (蠂 ~ 2 = 40.12 ~ 39.58 P = 0.01). There was a positive correlation between the knowledge awareness rate of intestinal parasitic disease prevention and control and the rate of health behavior formation. Often eaten unwashed fruits, often drank raw water, and often did not wash their hands before and after meals. The risk factors of intestinal parasitosis infection were frequently cooked food and bare foot dryland work (OR = 6.143.22 / 11.73 / 2.134.138.143.74 / 1.957.187.18 / 1.64 / 4.931 / 4.931, P = 0.01). Conclusion hookworm and hookworm are the main parasitic species of intestinal infection among students in Yueyang City. Primary school students are the key control objects. It is necessary to continue to adhere to insect repellent treatment, strengthen water and fecal management, strengthen health education and cultivate personal good civilized hygiene habits of a variety of comprehensive prevention and control measures.
【作者单位】：岳阳职业技术学院基础系;岳阳职业技术学院临床系;
【分类号】：R181.3;R53

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