摘要
目的探讨小儿手足口病的传染预防及综合性干预控制对策。方法收集2017年3月—2020年3月某院收治的109例小儿手足口病患者为调查对象纳入观察组,对其进行流行病学调查。并随机选取此期间在该院进行健康检查的健康受试者120例为对照组。采用卡方检验和Logistic回归分析探讨小儿手足口病发生的影响因素。结果经流行病学调查显示,手足口病患者年龄≤5岁居多,男性患者居多、夏秋季易感,病毒分型主要以柯萨奇病毒A16型和肠道病毒71型多见,多数患者合并其他细菌感染。经单因素分析显示,观察组、对照组患者体质量、母乳喂养、先天性疾病史、感染疾病史等差异无统计学意义(χ^(2)=1.098、0.248、0.585、0.039,P>0.05),两组患者年龄、性别、居住环境、手足口病接触史、个人卫生习惯等差异有统计学意义(χ^(2)=9.048、7.696、33.610、7.608、4.838,P<0.05)。经Logistic多因素分析,低龄、男性、手足口病患者接触史、居住环境为城乡结合部、个人卫生习惯较差是小儿手足口病发生的高危因素。结论手足口病患者以低龄、男性患者居多,夏秋季为高发季节。发病受患者年龄、性别、手足口病接触史、居住环境、个人卫生状况等因素的影响。
Objective To study the infection prevention and comprehensive intervention control strategy of hand-foot-mouth disease(HFMD) in children.Methods One hundred and nine patients with HFMD admitted in one hospital from March 2017 to March 2020 were collected as the respondents, included in the observation group, and subjected to the epidemiological investigation, and 120 healthy subjects receiving physical examinations in the hospital during the period were randomly divided into the control group.The factors of HFMD in children were analyzed by chi-square test and Logistic regression analysis.Results The epidemiological survey showed most of the patients were aged less than or equal to 5 years old, mostly male patients and easy to be infected in summer and autumn, most of virus types were Coxsackie virus A16 and Enterovirus 71,most of patients were complicated with other bacterial infections.Single factor analysis showed that the difference between the observation group and the control group in terms of the body mass, breastfeeding, history of congenital diseases and history of infectious diseases was not statistically significant(χ^(2)=1.098,0.248,0.585,0.039,P>0.05).The difference in two groups in terms of the age, gender, living environment, contact history of HFMD,personal health habits, etc.was statistically significant(χ^(2)=9.048,7.696,33.610,7.608,4.838,P<0.05).Logistic analysis showed that the younger age, male, contact history of HFMD patients, living environment in the rural-urban continuum, and poor personal hygiene habits were high-risk factors for the occurrence of HFMD in children.Conclusion HFMD patients are dominated by young and male.Summer and autumn are the high incidence seasons.The incidence of HFMD is effect by the age, gender, contact history of HFMD,living environment, personal sanitary conditions and other factors.
作者
陈妮娜
牛迪
陈玲
林娟娟
赵雅雯
刘敏
CHEN Ni-na;NIU Di;CHEN Ling;LIN Juan-juan;ZHAO Ya-wen;LIU Min(Xiangyang No.1 People's Hospital,Affiliated Hospital of Hubei University of Medicine,Xiangyang Hubei 441000,China)
出处
《医学动物防制》
2021年第9期856-858,862,共4页
Journal of Medical Pest Control
关键词
儿童
手足口病
流行病学调查
传染预防
影响因素
干预措施
Children
Hand-foot-mouth disease
Epidemiological investigation
Infection prevention
Factors
Intervention measures
