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目的通过了解散居儿童手足口病发病危险因素,为今后控制手足口病提供科学依据。方法采用病例对照的方式,选择114例散居确诊病例和126例健康儿童进行回顾性问卷调查,找出手足口病相关的危险因素。采用SPSS 17.0软件的logistic模型找出手足口病的危险因素。结果家庭中有其他托幼机构儿童、照看人近期接触过手足口病的患者、儿童吃东西前不洗或少洗手为散居儿童手足口发病危险因素,照看人知道传播方式为保护因素(OR=4.477、17.883、1.449和0.014,均P<0.05)。结论加强托幼机构儿童手足口病例管理,提高照看人关于手足口病隐性感染等传播方式知晓率,注意手卫生和良好行为习惯的养成,促成家庭-托幼机构联合防控体系,是预防散居儿童手足口病的关键。
Objective To understand the risk factors of hand-foot-mouth disease in diaspora and provide a scientific basis for future control of hand-foot-mouth disease. Methods A case-control study was conducted. A total of 114 cases of diaspora and 126 healthy children were selected for retrospective questionnaire to find out the risk factors related to hand-foot-mouth disease. The logistic model of SPSS 17.0 was used to find out the risk factors of HFMD. Results There were other kindergarten children and carers in the family who had been exposed to hand-foot-mouth disease recently. Children who did not wash or wash their hands before eating were the risk factors for hand-foot-mouth disease in the scattered children. Caregivers knew that the mode of transmission was protective factor (OR = 4.477, 17.883, 1.449 and 0.014, all P <0.05). Conclusion Strengthening the management of hand-foot-mouth cases in child-care institutions, raising the awareness rate of caregivers regarding the transmission of foot-and-mouth disease such as latent infection, paying attention to the development of hand hygiene and good behavior habits, and facilitating the joint prevention and control system of home-child care institutions are Prevention of hand-foot-mouth disease in children living in the key.