本文關(guān)鍵詞： 腸疾病 寄生蟲(chóng)性 感染 危險(xiǎn)因素 學(xué)生　出處：《中國(guó)學(xué)校衛(wèi)生》2017年06期 　論文類型：期刊論文

【摘要】：目的 了解岳陽(yáng)市部分大中小學(xué)生腸道寄生蟲(chóng)病感染現(xiàn)狀,為進(jìn)一步制定防治策略提供依據(jù)。方法 分層隨機(jī)抽查岳陽(yáng)市大中小學(xué)校5所,每年級(jí)隨機(jī)抽查2個(gè)班,采用改良加藤厚涂片(Kato-Katz)法,糞便檢查蟲(chóng)卵。鉤蟲(chóng)培養(yǎng)采用試管濾紙培養(yǎng)法。采用問(wèn)卷調(diào)查法調(diào)查學(xué)生衛(wèi)生知識(shí)和健康行為情況。結(jié)果 共調(diào)查1 545名大中小學(xué)生,腸道寄生蟲(chóng)感染率小學(xué)(3.27%)中學(xué)(2.42%)大學(xué)(1.91%),隨學(xué)生學(xué)段增高而降低(χ~2=2.54,P0.05)。腸道寄生蟲(chóng)蟲(chóng)種感染率蛔蟲(chóng)(2.65%)鉤蟲(chóng)(1.49%)鞭蟲(chóng)(0.13%)及姜片蟲(chóng)(0.13%)華支睪吸蟲(chóng)(0.06%)。城市學(xué)生感染率(2.21%)低于農(nóng)村學(xué)生(3.28%),男生感染率(2.65%)略低于女生(2.66%)(χ~2值分別為1.67,0.00,P值均0.05)。小學(xué)、中學(xué)與大學(xué)腸道寄生蟲(chóng)病防治知識(shí)知曉率分別為87.07%,95.00%,97.13%,健康行為形成率分別為84.94%,94.03%,94.90%,且均隨學(xué)生學(xué)段增高而增高,學(xué)段間差異均有統(tǒng)計(jì)學(xué)意義(χ~2值分別為40.12,39.58,P值均0.01)。腸道寄生蟲(chóng)病防治知識(shí)知曉率與健康行為形成率之間呈正相關(guān)(r=0.99,P0.05)。經(jīng)常吃未洗瓜果、經(jīng)常喝生水、經(jīng)常飯前便后不洗手、經(jīng)常生熟食物共用砧板、經(jīng)常光腳旱地干活是腸道寄生蟲(chóng)病感染的危險(xiǎn)因素[OR值(OR值95%CI)分別為6.14(3.22~11.73),4.13(2.10~8.14),3.74(1.95~7.18),2.64(1.41~4.93),2.45(1.32~4.57),P值均0.01]。結(jié)論 蛔蟲(chóng)與鉤蟲(chóng)是岳陽(yáng)市在校學(xué)生腸道感染的主要寄生蟲(chóng)種,小學(xué)生是重點(diǎn)防治對(duì)象。要繼續(xù)堅(jiān)持驅(qū)蟲(chóng)治療,加強(qiáng)水及糞便管理,加強(qiáng)健康教育及培養(yǎng)個(gè)人良好文明衛(wèi)生習(xí)慣的多種綜合防治措施。
[Abstract]:Objective to understand the present situation of intestinal parasitic infection among some middle and high school students in Yueyang City, and to provide the basis for further making prevention and cure strategies. Methods five schools in Yueyang City were randomly selected and 2 classes were randomly selected every year. A modified Kato-Katz method was used to examine eggs in feces. The culture of hookworm was carried out by using test tube filter paper. The hygienic knowledge and health behavior of students were investigated by questionnaire. Results 1 545 students were investigated. The infection rate of intestinal parasites in primary school (2.27) and middle school (2.42)) at the university level 1.91is decreased with the increase of students' academic level (蠂 ~ (2 / 2) 2.54 (P) 0.05) and the infection rate of hookworm is 0.1313) and the rate of infection of turmeria (0.13) is 0.066.The infection rate of urban students is lower than that of rural students (2.21%). The infection rate of urban students is lower than that of rural students (2.21%). The infection rate of Clonorchis sinensis is lower than that of urban students (2.21%). The infection rate of boys was slightly lower than that of girls (蠂 ~ 2 = 1.67%, P = 0.05). The awareness rates of intestinal parasitosis prevention knowledge in middle school and university were 87.07 and 95.00, respectively, and the rate of health behavior formation were 84.94 and 94.03, respectively, and they all increased with the increase of students' learning level. There were significant differences among the learning stages (蠂 ~ 2 = 40.12 ~ 39.58 P = 0.01). There was a positive correlation between the knowledge awareness rate of intestinal parasitic disease prevention and control and the rate of health behavior formation. Often eaten unwashed fruits, often drank raw water, and often did not wash their hands before and after meals. The risk factors of intestinal parasitosis infection were frequently cooked food and bare foot dryland work (OR = 6.143.22 / 11.73 / 2.134.138.143.74 / 1.957.187.18 / 1.64 / 4.931 / 4.931, P = 0.01). Conclusion hookworm and hookworm are the main parasitic species of intestinal infection among students in Yueyang City. Primary school students are the key control objects. It is necessary to continue to adhere to insect repellent treatment, strengthen water and fecal management, strengthen health education and cultivate personal good civilized hygiene habits of a variety of comprehensive prevention and control measures.
【作者單位】： 岳陽(yáng)職業(yè)技術(shù)學(xué)院基礎(chǔ)系;岳陽(yáng)職業(yè)技術(shù)學(xué)院臨床系;
【分類號(hào)】：R181.3;R53

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