儿童轮状病毒肠炎的危险因素分析及干预措施

Analysis of Risk Factors and Intervention Measures for Rotavirus Enteritis in Children

目的:分析儿童轮状病毒肠炎的危险因素并总结干预措施。方法:选取2022年1月至2023年12月我院收治的83例腹泻患儿,依据是否有轮状病毒感染分为感染组(35例)和无感染组(48例),比较2组患儿临床相关资料,对于P<0.05的因素进一步行Logistic回归分析,分析儿童轮状病毒肠炎的危险因素,并提出相应干预措施。结果:2组患儿在年龄、性别、喂养方式、维生素A补充、维生素D补充方面比较,差异均无统计学意义(P>0.05)。观察组居住农村、老年人看护、每天户外活动时间<1 h、患儿及其家属手卫生较差、有轮状病毒肠炎接触史、营养不良患儿占比均高于对照组(P<0.05);且Logistic回归分析显示,居住农村、老年人看护、每天户外活动时间<1 h、患儿及其家属手卫生较差、轮状病毒肠炎接触史、营养不良是轮状病毒肠炎的危险因素(P<0.05)。结论:居住农村、老年人看护、每天户外活动时间<1 h、患儿及其家属手卫生较差、轮状病毒肠炎接触史、营养不良是导致儿童轮状病毒肠炎的独立危险因素,对于具有独立危险因素的患儿应制定针对性预防措施,以降低轮状病毒肠炎发生率。

Objective To analyze the risk factors of rotavirus enteritis in children and summarize the in-tervention measures.Methods Total 83 children with diarrhea admitted to our hospital from January 2022 to December 2023 were selected and divided into infection group(35 cases)and non-infection group(48 cases)according to whether rotavirus infection was present.The clinical data of the two groups were compared,and the factors with P<0.05 were further analyzed by Logistic regression.The risk factors of rotavirus enteritis in children were analyzed and the corresponding intervention measures were proposed.Results There was no significant difference in age,gender,feeding style,vitamin A supplement and vita-min D supplement between two groups(P>0.05).The observation group lived in rural areas,was taken care of by the elderly,spent less than 1 hour outdoors every day,had poor hand hygiene,contact history of rotavirus enteritis and malnutrition,and the proportion of children with the above characteristics was high-er in the observation group than in the control group(P<0.05).Logistic regression analysis showed that living in rural areas,taken care of by the elderly,daily outdoor activity time less than 1 hour,poor hand hygiene of children and their families,contact history of rotavirus enteritis,and malnutrition were risk fac-tors for rotavirus enteritis(P<0.05).Conclusion Living in rural areas,taken care of by the elderly,daily outdoor activity time less than 1 hour,poor hand hygiene of children and their families,contact histo-ry of rotavirus enteritis,and malnutrition are independent risk factors for children with rotavirus enteritis.Targeted preventive measures should be developed for children with independent risk factors to reduce the incidence of rotavirus enteritis.