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目的了解厦门与漳州市辖区的城乡儿童蛲虫感染情况,分析蛲虫感染的危险因素,为蛲虫病的防治提供指导。方法 2011年选取厦门与漳州市辖区的11个县市(区)11所幼儿园及3所小学为调查点,采用圆底试管透明胶纸肛拭法检查2~12周岁的儿童和小学一、二年级学生蛲虫感染情况。通过问卷调查受检儿童及其家庭的基本情况、卫生习惯和学校环境等相关知识,并分析蛲虫感染的影响因素。结果共调查2市11个县(区)11所幼儿园和3所小学的儿童1 651名,回收合格问卷1 452份。儿童蛲虫总感染率为13.57%(224/1 651),其中,漳州市的芗城区感染率最高,为30.36%(34/112),厦门市湖里区感染率为0,即未发现蛲虫感染者。漳州镇区蛲虫总感染率18.08%(161/890),显著高于厦门城区总蛲虫感染率2.28%(63/761),两者差异具有统计学意义(x~2=33.67,P<0.01)。男童感染率为12.97%(114/879),女童感染率为14.25%(110/662),两者差异无统计学意义(x~2=0.5737,P>0.05)。蛲虫感染的主要影响因素为儿童的居住地,父母亲文化、职业,教室地面情况和儿童寄读境况等。结论漳州镇区的儿童蛲虫感染情况依然严重.应针对蛲虫感染的相关影响因素采取相应的防控措施,以保护儿童的身心健康。
Objective To understand the prevalence of pinworm infection in urban and rural areas in Xiamen and Zhangzhou, analyze the risk factors of pinworm infection and provide guidance for the prevention and treatment of enterobiasis. Methods In 2011, eleven kindergartens and three primary schools in 11 counties (districts) of Xiamen and Zhangzhou were selected as the investigation points. Round-the-tube translucent adhesive tape anal swab was used to examine children aged 2 to 12 years and primary and secondary school students Students pinworm infection. Through questionnaire survey of children and their families basic information, health habits and school environment and other related knowledge, and analyze the impact of infection factors. Results A total of 1 651 children in 11 kindergartens and 3 primary schools in 11 counties (districts) of 2 cities were surveyed, and 1 452 qualified questionnaires were collected. The prevalence of pinworm in children was 13.57% (224/1 651), of which, the highest infection rate was 30.36% (34/112) in Xiangcheng District of Zhangzhou City and 0 in Huli District of Xiamen City, that is, no infection was found Worm infection. The total infection rate of pinworm in Zhangzhou was 18.08% (161/890), which was significantly higher than that of Xiamen (2.28%) (63/761). The difference was statistically significant (x 2 = 33.67, P < 0.01). The infection rate of boys was 12.97% (114/879), while that of girls was 14.25% (110/662). There was no significant difference between the two groups (x ~ 2 = 0.5737, P> 0.05). The main influencing factors of pinworm infection are children’s residence, parents’ culture, occupation, classroom ground conditions and children’s sending situation. Conclusion The prevalence of pinworm infection in children in Zhangzhou is still serious, and the corresponding prevention and control measures should be taken to protect the physical and mental health of children.