目的了解蓬莱市城区渔家乐卫生监督量化分级前后的卫生状况及变化趋势,为制定有效的监督管理措施提供科学依据。方法分别于2013年5月和2014年4月抽检蓬莱市城区渔家乐经营户87户,采用自行设计的《渔家乐卫生监督量化分级评分表》对其进行两次评价,并对公共用品采样检测,比较其合格率情况。结果量化分级管理后,A级渔家乐所占百分比明显提高,由11.50%上升至32.18%;C级渔家乐所占比例明显降低,由32.8%下降至6.9%(P<0.01);亮证经营、卫生信誉度等级、卫生管理制度、检测报告、客用化妆品管理后合格率分别提高到87.36%、89.66%、87.36%、52.87%、50.00%,管理前后差异有统计学意义(P<0.05);消毒药品、消毒药物配比容器、非一次性拖鞋消毒、清洗消毒程序、保洁设施管理后合格率分别提高到98.85%、74.71%、98.85%、93.10%、90.80%,管理前后差异有统计学意义(P<0.05);客用棉织品、清洁工具管理后合格率分别提高到100.00%、63.22%,管理前后差异有统计学意义(P<0.05);自查记录、卫生间排风设备、公共用品数量、棉织品清洗合格率较低,不足60%,管理前后差异无统计学意义(P>0.05);卫生管理及人员、体检培训、个人卫生合格率较高,在91.95%以上(体检培训管理前合格率为89.65%),管理前后差异无统计学意义(P>0.05);客用饮具、卫生间环境、未配备卫生间的客房盥洗设施、一客一换,面盆、浴盆、恭桶、脸盆、脚盆管理后合格率达到88.37%以上,管理前后差异无统计学意义(P>0.05)。结论蓬莱市城区渔家乐实施卫生监督量化分级管理取得明显成效。 Objective To understand the health status and trends of the fishermen’s health supervision before and after the grading in Penglai City, and to provide a scientific basis for the formulation of effective supervision and management measures. Methods 87 households of Yuejialu operators in Penglai City were sampled in May 2013 and April 2014 respectively. The self-designed “Fishermen’s Hygiene Supervision Quantified Grading Scale” was used to evaluate them twice, and samples of public articles , Compared with the passing rate of the situation. After the results of quantitative management, the percentage of Grade A fishermen’s music increased significantly from 11.50% to 32.18%; the proportion of Grade C fishermen dropped significantly from 32.8% to 6.9% (P <0.01) (P <0.05). The passing rate of hygiene reputation, health management system, testing report and guest cosmetic management were increased to 87.36%, 89.66%, 87.36%, 52.87%, 50.00% ; The passing rate of sterilizing drugs and disinfectant matching containers, non-disposable slippers disinfection, cleaning and disinfection procedures, and cleaning facilities management were improved to 98.85%, 74.71%, 98.85%, 93.10% and 90.80% respectively. (P <0.05). The passing rate of customer-made cotton and cleaning tools was increased to 100.00% and 63.22%, respectively, with significant difference before and after management (P <0.05); self-examination records, bathroom ventilation equipment, (P> 0.05); Health management and personnel, physical examination training, personal hygiene pass rate higher than 91.95% (physical examination training before management Pass rate of 89.65%), before management There was no significant difference between the two groups after treatment (P> 0.05). Passenger drinking set, toilet environment, room toilet without toilet, one pass, basin, tub, %, There was no significant difference between before and after management (P> 0.05). Conclusion Penglai City Yujiajialu implementation of health supervision quantitative and hierarchical management achieved remarkable results.