邓小玲

摘 要 目的：分析社区儿童包茎及并发包皮龟头炎患病的相关因素。方法：回顾分析2013年11月—2014年11月在儿保门诊系统管理的男性儿童410人的资料。结果：410人男性儿童中1岁体检时患有包茎且并发包皮龟头炎273人，无包茎的137人。照看儿童人的年龄与儿童包茎及并发包皮龟头炎患病率有关，纸尿裤使用情况与儿童包茎及并发包皮龟头炎患病率有关，生殖器清洁护理情况与儿童包茎及并发包皮龟头炎患病率有关，无尿布疹儿童患包茎及并发包皮龟头炎患病率低。结论：应对照看儿童的家长加强健康教育，对儿童要进行科学的护理，降低儿童包茎及并发包皮龟头炎的发病率。

关键词 包茎 包皮龟头炎 因素分析

中图分类号：R697+.12 文献标识码：A 文章编号：1006-1533（2016）08-0058-02

Analysis of the community infant phimosis and the related factors of concurrent balanoposthitis

DENG Xiaoling

（Waigang Community Health Service Center of Jiading District， Shanghai 201806， China）

ABSTRACT Objective： To analyze the community infant phimosis and the related factors of concurrent balanoposthitis. Methods： The data of 410 male infants in the child care outpatient management system from Nov. 2013 to Nov. 2014 were retrospectively analyzed. Results： In 410 male infants of 1 year old， 273 suffered from phimosis and concurrent balanoposthitis when they had the physical examination and 137 had no phimosis. The age of the people who looked after the infants， the use of diapers and genital cleaning and nursing were related to the prevalence of phimosis and concurrent balanoposthitis. The infants without diaper rash had the low prevalence of phimosis and concurrent balanoposthitis. Conclusion： The health education to the people who looked after the infants should be strengthened and the infants should be nursed scientifically so as to reduce the prevalence of phimosis and concurrent balanoposthitis.

KEY WORDS phimosis； balanoposthitis； factor analysis

包茎是男性生殖器官最常见的畸形，患儿包皮下积聚由皮脂腺分泌物和上皮脱屑形成的包皮垢或包皮结石，易发生细菌感染，引起阴茎头包皮炎，严重可引起尿路感染，以致肾功能损害[1]。包茎不但能妨碍整个阴茎的发育，同时对成年后的性生活也有一定影响，长期炎症刺激可能诱发阴茎癌[1]。为准确掌握上海市嘉定区外冈镇社区儿童包茎患病的主要因素，有利于今后制定有效的防治措施，本文对410名男性儿童进行了包茎及并发包皮龟头炎原因调查，对相关因素进行了分析，现报道如下。

1 对象与方法

1.1 一般资料

对2013年11月—2014年11月外冈镇社区卫生服务中心儿保门诊健康档案中收集的410名男性儿童及其家长进行问卷调查。……