【摘要】 目的了解宁德市手足口病发病危险因素,为今后控制手足口病提供科学依据。方法采用问卷调查的方式,在福安、蕉城、周宁3个县(市、区)进行回顾性调查手足口病相关感染因素,采用SPSS16.0软件对数据进行统计分析,单因素分析进行χ2检验,多因素分析采用非条件Logistic回归分析。结果单因素分析和多因素非条件Logistic回归分析显示散居儿童、饭前便后不洗或少洗手、近1周手足口病病例接触史、近1周共用玩具史、家长手足口病预防知识缺乏为手足口病发病危险因素(OR=11.620、7.227、5.013、4.669和5.606,P均<0.05)。结论手足口病影响因素众多,强化医院预检分诊、托幼机构晨、午检制度,培养儿童良好的生活习性和卫生习惯,以及家长的卫生保健意识,是预防手足口病的关键。更多还原

【Abstract】 Objective To explore the risk factors of hand,foot and mouth disease(HFMD)in Ningde City so as to provide a scientific basis for control of HFMD in future. Methods We conducted questionnaire survey to retrospectively analyze the infection factors concerning HFMD in Fuan City,Jiaocheng District and Zhouning County.Statistical analyses were conducted with SPSS 16.0software.Chi-square test was used for univariate analysis,and the non-conditional Logistic regression model was performed for multivariate analysis. Results The results of univariate analysis and multivariate nonconditional Logistic regression analysis showed that the risk factors for HFMD were scattered children,not or not often washing hands before meals or after defecation,the history of contacting with HFMD patients in the recent week,the history of sharing toys with other children in the recent week and parents’ lack of knowledge about HFMD prevention(OR=11.620,OR=7.227,OR=5.013,OR=4.669,OR=5.606,all P<0.05). Conclusions Hand,foot and mouth disease is affected by many factors.Enhancing pretriage in the hospital,strengthening nurseries’ morning and afternoon inspection system and developing children’s good living and health habits and parents’ awareness of health care are the keys to preventing hand,foot and mouth disease.更多还原