江苏省基层卫生工作人员肠道寄生虫病防治技术培训效果分析

Effects of training of human intestinal parasitic diseases for basic health staff in Jiangsu Province

目的评估肠道寄生虫病防治技术培训对于提高江苏省基层卫生工作人员寄生虫病检测技术水平的效果。方法采用理论授课和实践操作相结合方式进行培训，培训结束后分别对理论和镜检两部分进行考核，其中镜检考核每人阅读10张改良厚加藤片，每张限时5min，总共100分，60分及格。应用SAS9．0软件对考核结果进行秩和分析。结果共有13个市162名基层寄生虫病防治工作人员参加了培训，无学员缺考。理论考核最高分为99分，最低分60分，平均为86．28分；理论考核成绩女性学员高于男性，30～40年龄组高于其他年龄组，苏北地区优于苏南和苏中地区，不同地区间理论考核成绩差异有统计学意义（P〈0．05）。镜检考核最高分为100分，最低分为20分，平均为73．40分；9种虫卵中5种虫卵的检出率〉60．00％；其中鞭虫卵检出率最高，为88．17％，带绦虫卵最低，为14．72％。南京市平均总成绩最高，为181．32分；常州市最低，为138．27分；不同地区间总成绩差异有统计学意义（P〈0．05）。结论江苏省不同地区基层卫生工作人员对肠道寄生虫病防治技术的了解程度存在差异，肠道寄生虫病防治技术培训在一定程度上提高了基层卫生工作人员对肠道寄生虫病的病原学检测水平。

Objective To evaluate the effect of the training of human intestinal parasitic diseases for basic health staff. Meth- ods A workshop including theory courses and practical operations was carried out. At the end of the workshop, the effects were evaluated through the examinations of theory and film-reading. The total score of film-reading was one hundred including reading ten modified thick Kato-Katz slides in five minutes per slide. The results were analyzed statistically with SAS 9.0. Results There were 162 trainees from 13 cities. All of them took part in the final examination. The highest score of theory test was 99 and the low- est was 60 with the average of 86.3. The average score of the female was higher than that of the male, and the average score of 30- 40 years＇ age group was higher than that of the other groups. The average score of the staff in Northern Jiangsu Province was high- er than that of the staff in southern area and middle area of Jiangsu Province （P 〈 0.05）. The highest score of film-reading was 100 and the lowest score was 20 with the average of 73.4. Among the total 9 species, the egg detection rates of five species were more than 60.00%. The detection rate of Trichuris trichiura was highest （88.17%） and the rate of Taenia was only 14.7%. The total aver- age score of the staff in Nanjing City was highest （181.3） and the score of the staff in Changzhou City was lowest （138.3）. There were significant differences among different regions （P 〈 0.05）. Conclusion The technical capability of examining the human in- testinal parasitic diseases of basic health staff is different among the different regions of Jiangsu Province. We still need to strength- en the capability of pathogen detection for basic health staff.