乌鲁木齐市儿童手足口病危险因素研究

Risk factors of hand-foot-mouth disease among children in Urumqi city

目的探讨乌鲁木齐市儿童手足口病发病影响因素。方法从＂中国疾病预防控制信息系统＂中选取2013年7—9月乌鲁木齐市各医疗机构报告的154例手足口病作为病例组。同一个时间段,抽取323名未患手足口病健康儿童作为对照组,采用统一的调查表进行调查,用SPSS21.0统计软件进行数据分析。结果多因素分析结果显示儿童照顾者讲究卫生状况差（OR=1.974,95%CI：1.265~3.080）,儿童患有基础疾病（OR=8.090,95%CI：2.195~29.808）,经常咬手指（OR=1.703,95%CI：1.965~2.428）,玩耍回来不洗手（OR=3.062,95%CI：1.376~6.815）,常去公共场所（OR=2.263,95%CI：1.557~3.289）,社区有手足口病患者（OR=6.532,95%CI：1.968~21.682）,是3岁以下儿童手足口病发病主要影响因素。而儿童照顾者讲究卫生状况差（OR=2.301,95%CI：1.328~3.987）,经常咬手指（OR=2.603,95%CI：1.424~4.759）,常去公共场所（OR=3.096,95%CI：1.804~5.312）,是3岁以上儿童手足口病发病主要影响因素。结论乌鲁木齐市3岁以上与3岁以下儿童手足口病发病危险因素有所不同。应采取针对性的健康教育和预防控制措施。

Objective To explore the risk factors of hand-foot-mouth disease （HFMD） among children in Urumqi city. Methods From July to September in 2013,154 cases of HFMD from ＂National disease surveillance information reporting system ＂ were selected as case group.At the same time, 323 healthy children were selected as control group.A unified questionnaire was used to survey and statistical analyses were conducted with SPSS 21.0. Results Muhivariable analysis showed that poor hygiene condition of children＇s caregivers （OR=1.974,95% CI ：1.265-3.080）, sufferring from underlying disease （ 0R=8.090,95% C1：2.195-29.808）, often bitting fingers （ OR= 1.703,95% C1：1.965~2.428）, not washing their hands after playing （OR=3.062,95% CI ：1.376-6.815） , exposing to public place frequently （OR=2.263,95% CI ：1.557~3.289） , community with HFMD （0R=6.532,95% CI ：1.968~21.682）were main risk factors of HFMD children under age of 3.Poor hygiene condition of children＇s caregivers （ OR=2.301,95% C1：1.328~3.987） , often bitting fingers （ OR=2.603,95 C1：1.424- 4.？59）, exposing to public place frequently （OR=3.096,95% C1：1.804~5.312） were main risk factors of HFMD children more than 3 years old. Conclusion There are differences between risk factors among more than 3 years old and under age of 3 children.Diffrent health education and prevention and control measures should be proposed adopt.