某市儿童细菌性痢疾与家庭环境因素关系的研究

THE INVESTIGATION OF THE RELATION BETWEEN BACTERIAL DYSENTERY AND ENVIRONMENTAL FACTORS IN SOME CITY

目的:探讨城市中与儿童急性细菌性痢疾有关的家庭环境因素,以便找到相应的控制措施。方法:随机抽取2004年7～10月份在该市某医学院附属医院就诊的50例细菌性痢疾患儿为病例组,同时就诊的148例非细菌性痢疾腹泻患儿为内对照组,该院保健科登记的192名健康儿童为健康对照组。并制定调查表对其家庭、环境因素进行调查。结果:以非细菌性痢疾腹泻患儿为对照时,单因素分析显示细菌性痢疾的危险因素为母亲文化程度和住房面积。以健康儿童为对照时,单因素分析显示细菌性痢疾的危险因素为母亲文化程度、人均收入、人均住房面积、厕所有无、有无其他人带养、喂养方式。结论:一些家庭环境因素为儿童细菌性痢疾的危险因素。希望能够通过控制这些因素来减少儿童细菌性痢疾的发生和传播。

Objective：To investigate the relation between bacterial dysentery and environmental factors in some city in order to find corresponding control measures. Methods： 50 children sufferring form bacterial dysentery at hospial pertain to medical university of the city were taken out at random as cases group from July, 2004 to October , 2004 , in the same time 148 diarrheal children but not sufferring form bacterial dysentery were taken out as internal control goup and 192 healthy children of registering in health protection sector of the hospital as control group . Questionnaire were made out to investigate their family and environmental factors. Results： Single factor analysis indicates that the dangerous factors of bacterial dysentery were mother cultural degree and loding area when the diarrheal children but not sufferring form bacterial dysentery was control group and that the dangerous factors of bacterial dysentery are mother cultural degree, average revenue, average loding area, having lavatory or not, aiding to bring up by other people or not and the ways of feeding when the healthy children was control group, conclusion, some environmental factors are dangerous factors of bacterial dysentery . I hope bacterial dysentery is reduced in happening and infectious by controlling these environmental factors.