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目的探讨乌鲁木齐市儿童手足口病发病影响因素。方法从“中国疾病预防控制信息系统”中选取2013年7—9月乌鲁木齐市各医疗机构报告的154例手足口病作为病例组。同一个时间段,抽取323名未患手足口病健康儿童作为对照组,采用统一的调查表进行调查,用SPSS21.0统计软件进行数据分析。结果多因素分析结果显示儿童照顾者讲究卫生状况差(OR=1.974,95%CI:1.265~3.080),儿童患有基础疾病(OR=8.090,95%CI:2.195~29.808),经常咬手指(OR=1.703,95%CI:1.965~2.428),玩耍回来不洗手(OR=3.062,95%CI:1.376~6.815),常去公共场所(OR=2.263,95%CI:1.557~3.289),社区有手足口病患者(OR=6.532,95%CI:1.968~21.682),是3岁以下儿童手足口病发病主要影响因素。而儿童照顾者讲究卫生状况差(OR=2.301,95%CI:1.328~3.987),经常咬手指(OR=2.603,95%CI:1.424~4.759),常去公共场所(OR=3.096,95%CI:1.804~5.312),是3岁以上儿童手足口病发病主要影响因素。结论乌鲁木齐市3岁以上与3岁以下儿童手足口病发病危险因素有所不同。应采取针对性的健康教育和预防控制措施。
Objective To explore the influencing factors of hand-foot-mouth disease in children in Urumqi. Methods A total of 154 HFMD cases reported by medical institutions in Urumqi from July to September in 2013 were selected as the case group from China CDC Information System. In the same time period, 323 healthy children without hand-foot-mouth disease were selected as the control group, investigated by a unified questionnaire, and analyzed by SPSS21.0 statistical software. Results The results of multivariate analysis showed that children caregivers paid more attention to poor health status (OR = 1.974, 95% CI: 1.265-3.080), children with underlying diseases (OR = 8.090, 95% CI: 2.195-29.808) OR = 1.703, 95% CI: 1.965-2.428), did not wash hands after playing (OR = 3.062,95% CI: 1.376-6.815), and often went to public places (OR = 2.263,95% CI: 1.557-3.289) Patients with hand-foot-mouth disease (OR = 6.532, 95% CI: 1.968 ~ 21.682) were the main influencing factors for HFMD in children under 3 years of age. Children with caregivers paid more attention to poor health (OR = 2.301, 95% CI: 1.328-3.987), often biting their fingers (OR = 2.603,95% CI: 1.424-4.759) CI: 1.804 ~ 5.312), which is the main influencing factor of HFMD in children over 3 years old. Conclusion The risk factors of HFMD in children over 3 years old and under 3 years old in Urumqi are different. Should take targeted health education and prevention and control measures.