婴幼儿冬季腹泻危险因素分析

Analysis of Risk Factors of Diarrhea Disease among Infants in Winter

目的了解婴幼儿冬季腹泻发病影响因素。方法采用病例对照研究,选取96例婴幼儿腹泻患者作为病例组,同期在同所医院就诊的同性别、同年龄的婴幼儿非腹泻患者作为对照;制定统一的调查表进行调查;采用单因素和多因素非条件Logistic回归分析筛选腹泻发病的关联因素。结果单因素分析差异有统计学意义(P<0.05)的变量有母亲文化、母亲职业(工人、干部或知识分子、饮食服务业)、流动人口、家庭经济收入、奶瓶或餐具消毒、抹布清洗、饲养动物、清洗碗橱与腹泻病的发生密切相关;多因素分析进入模型的有统计学意义(P<0.05)的变量为母亲从事饮食服务业、流动人口、奶瓶消毒、饲养动物,其OR值分别为2.212、11.905、0.262、2.313。结论母亲从事饮食服务业,流动人口、饲养动物是腹泻病的危险因素,而母亲文化程度高、母亲职业为工人、干部或知识分子职业、家庭经济收入高、做好奶瓶或餐具消毒、抹布清洗、清洗碗橱是腹泻病的保护因素。

Objective To understand risk factors of diarrhea disease among infants in winter. Methods Case-control study was conducted, 96 infants with diarrhea disease were selected as cases. Non-diarrhea disease infants with the same sex and age as the ease group in the same hospital were selected as control, Interview was carried out with a uniform designed questionnaires, simple and multiple non-conditional Logistic regression regression were demonstrated to analyze the risk factors of diarrhea disease. Results The results of univariate analysis showed that maternal culture level, maternal occupation, floating population, household monthly income level, feeding bottle or dishware disinfection, breeding animal, dishcloth cleunout significantly associated with diarrhea disease （ P 〈 0.05） ; multivariate analysis showed that mater occupation for dietetic work, floating population, feedins bottle disinfection, breeding animal were significantly associated with diarrhea disease （ P 〈 0.05）, and OR valuse were 2.212, 11.905, 0.262, 2.313, respectively. Conclusion Mater occupation for dietetic work, floating population, breeding animal were risk factors of diarrhea disease, and maternal culture level, maternal occupation for worker and cadre （intelligentsia）, high household monthly income level, feeding bottle or dishware disinfeetio＇n, dishcloth cleanout, buffet cleanout were protective factors of diarrhea disease.