摘要
目的 了解北京市〈5岁儿童轻、重型腹泻患病构成情况及相关影响因素,为进一步采取防控措施提供数据支持。方法 2012年5月-2013年7月,对北京市城区、近郊区和远县的3个儿童专科医院1142名腹泻儿童进行患病情况调查,并采用广义估计方程探讨儿童轻、重型腹泻的相关因素。结果 本次调查涉及的腹泻儿童中,轻型987名（86.4%）,重型155名（13.6%）;农业户籍（OR=2.70,P〈0.001）、外地户口（OR=1.90,P=0.044）、轮状病毒感染（OR=4.12,P〈0.001）、杯状病毒感染（OR=1.97,P=0.010）、非发病当天就诊（OR=2.61,P=0.002）、在9-12月的高发月份发病（OR=1.86,P=0.002）均为重型腹泻的危险因素,而年龄、性别和住址区域均不构成影响。结论 预防重型腹泻病的发生,重点在于改善生活环境和卫生习惯、减少肠道传染病传播、患病后及时就诊等。
Objective To understand the composition and related factors of mild and severe diarrhea among children under 5 years in Beijing,in order to provide data support for disease prevention and control. Methods From May2012 to July 2013,we performed a survey among 1 142 children with diarrhea from three pediatric hospitals located in urban,peri-urban and distant counties in Beijing. Generalized estimating equations were used to explore the influencing factors of mild and severe diarrhea. Results A total of 987 children（ 86. 4%） were involved in mild diarrhea and the other155 children（ 13. 6%） had severe diarrhea. Agricultural household（ OR = 2. 70,P〈0. 001）,nonlocal registered permanent residence（ OR = 1. 90,P = 0. 044）,rotavirus infection（ OR = 4. 12,P〈0. 001）,calicivirus infection（ OR = 1. 97,P = 0. 010）,medical treatment after diarrhea onset（ OR = 2. 61,P = 0. 002） and illness in high-occurrence month which lasts from September to December（ OR = 1. 86,P = 0. 002） were the risk factors for severe diarrhea. Age,gender and address areas were not the risk factors. Conclusions Improving living environment as well as hygiene habit,reducing the spread of intestinal infectious diseases,and encouraging timely medical consulting are needed in severe diarrhea prevention.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2015年第8期787-790,共4页
Chinese Journal of Disease Control & Prevention
基金
北京市自然科学基金(7132045)
关键词
儿童
腹泻
因素分析
统计学
Child
Diarrhea
Factor analysis
statistical
作者简介
郭丹丹（1989-），女，北京人，医师，学士。主要研究方向：肠道传染病流行病学。
贾蕾，E—mail：lailajia@126．com
