中山市5岁以下儿童手足口病发病相关因素分析

发布时间：2018-05-25 04:38

本文选题：手足口病 + 儿童　；参考：《疾病监测与控制》2016年11期

【摘要】：目的探讨中山市㩳5岁儿童手足口病发病的相关因素,为制定手足口病防控措施提供参考依据。方法采用病例对照研究设计,以中山市妇幼保健院2014年5~8月间儿科住院治疗的手足口病患儿为病例组,以同期在儿保科进行健康体检的儿童为对照组,采用自行设计的手足口病个案调查表进行调查,调查内容包括居住情况、健康状况、生活习惯、接种轮状病毒疫苗情况等。采用卡方检验和Logistic回归分析手足口病危险因素。结果手足口病儿童与健康儿童在户籍、散居/托幼、看护人、生活习惯(儿童饭前便后洗手、吮吸手指与玩具、作息规律)、健康和疫苗接种(是否接种过轮状病毒疫苗、近3个月发生上呼吸道感染或腹泻胃肠炎、近1周去过医院就诊)方面差异具有统计学意义(P㩳0.05)。流动户籍(OR=1.612)、散居(OR=1.851)、看护人为祖辈或其他相比父母(OR=1.353、2.344)、儿童饭前便后不洗手或偶尔洗手(OR=2.363)、吮吸手指与玩具(OR=2.017)、作息不规律(OR=3.156)、未接种过轮状病毒疫苗(OR=11.129)、近3个月发生上呼吸道感染、腹泻或胃肠炎(OR=4.808)、近1周去过医院就诊(OR=2.337)的儿童发病风险较高。结论中山市㩳5岁儿童手足口病发病与居住情况、健康状况、生活习惯等密切相关,应针对性采取预防措施,降低手足口病发病率。
[Abstract]:Objective to explore the related factors of hand foot and mouth disease in 5 years old children in Zhongshan, and to provide reference for the prevention and control of hand foot and mouth disease. Method case control study was designed. Children with hand foot and mouth disease treated in pediatric hospital of Zhongshan maternal and child health care hospital in 2014 5~8 months were used as case group, and children who had healthy physical examination in pediatrics department at the same time were used in the same period. For the control group, a self-designed case questionnaire of hand foot and mouth disease was used to investigate the status of living, health, living habits, and inoculation of rotavirus. The risk factors of hand foot and mouth disease were analyzed by chi square test and Logistic regression. Protecting people, living habits (children washing hands before meals, sucking fingers and toys, doing interest rules), health and vaccination (whether vaccinating rotavirus, upper respiratory tract infection or diarrhea gastroenteritis in the last 3 months, visiting hospital for nearly 1 weeks) has statistical significance (P? 0.05). Mobile household registration (OR=1.612), scattered (OR=1.851), For the grandparents or other parents (OR=1.353,2.344), the children did not wash their hands or occasionally wash their hands (OR=2.363) before meals, sucked their fingers and toys (OR=2.017), did not regularly (OR=3.156), did not vaccinated with rotavirus vaccine (OR=11.129), had upper respiratory tract infection, diarrhoea or gastroenteritis (OR=4.808) for nearly 3 months, and had been to hospital for nearly 1 weeks. OR=2.337) children have a high risk of disease. Conclusion the incidence of hand foot and mouth disease in children of 5 years old in Zhongshan is closely related to the living conditions, health status, living habits and so on. Preventive measures should be taken to reduce the incidence of hand foot and mouth disease.
【作者单位】：南方医科大学附属中山博爱医院;
【基金】：中山市医学科研基金资助[J2012096]
【分类号】：R725.1;R181.3

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