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中文摘要: 目的 探讨5岁以下婴幼儿病毒性腹泻的危险因素，为婴幼儿腹泻病的防控提供科学依据。方法 采用1∶1配对对照研究方法，对玉溪市2015年哨点医院收治的5岁以下病毒性腹泻儿童进行问卷调查，并经过logistic 回归分析影响5岁以下婴幼儿病毒性腹泻的因素。结果112例病例中，男女性别比为1.87:1，平均年龄（13.72±6.25）个月，最小为45天。多因素logistic回归结果显示：接种疫苗是婴幼儿病毒性腹泻的保护因素，餐具没有消毒（OR=3.52，95%CI：3.07~6.40）、婴幼儿饭前没有洗手（OR=1.67，95%CI：1.18~2.33）、婴幼儿便后没有洗手（OR=1.14，95%CI：1.09~2.60）、室内有苍蝇（OR=3.40，95%CI：1.38~6.41）是婴幼儿病毒性腹泻的危险因素。结论 接种疫苗是婴幼儿病毒性腹泻的保护因素，不良卫生习惯、较差生活环境增加了婴幼儿病毒性腹泻发生的危险性。为有效控制婴幼儿腹泻的发病率，大力开展健康教育和健康促进，接种疫苗，养成良好卫生行为。
Abstract:Objective To explore the risk factors of viral diarrhea among infants under 5 years old, and to provide scientific basis for prevention and control of diarrhea in infants. Methods The case-control study was adopted to the diarrhea children under 5 years old in the sentinel hospital, and the factors affecting viral diarrhea of infants under 5 years old were analyzed through Logistic regression. Results The sex ratio of the 112 cases was 1.87:1, an average age of 13.72~6.25 months and a minimum age of 45 days. Multiariable Logistic regression results showed that vaccination was the protection factor in viral diarrhea of infants, no disinfection tableware (OR=3.52, 95% CI: 3.07 ~ 6.40), the children were not to wash your hands before meals (OR=1.67, 95% CI: 1.18 ~ 2.33), the children did not to wash their hands after using the bathroom (OR=1.14, 95% CI: 1.09 ~ 2.60), indoor had flies (OR = 3.40, 95% CI: 1.38 ~ 6.41) was a risk factor for viral diarrhea of infants. CONCLUSION Vaccination was a protective factor for viral diarrhea of infants. Adverse health habits and poor living environment would increase the risk of occurrence of viral diarrhea of infants. In order to effectively control the incidence of diarrhea of infants and young children, that health education and health promotion, get vaccinated and adopt wholesome behavior should be vigorously carried out.
keywords: viral diarrhea risk factors case control infant Yuxi
文章编号：3201909023 中图分类号：R723 文献标志码：
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