保长荣乐都区峰堆卫生院，青海海东　810700

某区儿童手足口病发病影响因素分析

保长荣
乐都区峰堆卫生院，青海海东810700

目的 研究儿童手足口病发病的影响因素。方法 对该区儿童进行抽样调查，抽取186例月龄不超过36个月的儿童，对儿童手足口病发病情况进行调查。分析患病儿童与健康儿童的差异，采用Logistic回归方程进行计算，分析儿童手足口病发病的影响因素。结果 所选儿童中39例发生手足口病，占20.97%。对比患病和未患病儿童一般资料发现，两组儿童在年龄、母乳喂养、早产儿、奶瓶消毒情况、手足口病接触史、近期疫苗接种情况、喂养者洗手习惯以及喂养者文化水平方面均有差异（P＜0.05）。将上述有差异项带入Logistic回归方程，结果显示，年龄、母乳喂养、早产儿、奶瓶消毒情况、手足口病接触史、近期疫苗接种情况、喂养者洗手习惯以及喂养者文化水平均为儿童手足口病发病的影响因素。结论 儿童发生手足口病的影响因素较多，临床上应对儿童进行针对性措施，积极预防手足口病的发生，降低发生率。

疾病预防；儿童；手足口病；影响因素

［Abstract］Objective To research the influence factor of incidence of hand-foot-mouth disease in children.Methods 186 cases of children whose month age was not more than 36 were extracted by the stratified cluster sampling method，the incidence of hand-foot-mouth disease in children was surveyed，the difference between the disease children and the healthy children was analyzed，and calculated by the Logistic regression equation，and the influence factors of hand-foot-mouth disease in children were analyzed.Results Hand-foot-mouth disease occurred to 38 cases in the selected children，accounting for 20.97%，and the comparison of general data showed that there were differences in the age，breast feeding，premature infants，feeding bottle disinfection，contact history of hand-foot-mouth disease，recent vaccine inoculation，hand hygiene of breeders and cultural level of breeders（P＜0.05），the above differences were substituted into the Logistic regression equation，and the results showed that the age，breast feeding，premature infants，feeding bottle disinfection，contact history of hand-foot-mouth disease，recent vaccine inoculation，hand hygiene of breeders and cultural level of breeders were the influence factors of hand-foot-mouth disease in children.Conclusion The influence factors of hand-foot-mouth disease in children are more，and we should adopt targeted measures for children in clinic and positively prevent the occurrence of handfoot-mouth disease and reduce the incidence rate.

［Key words］Disease prevention；Children；Hand-foot-mouth；Influence factor

手足口病是儿童最常见的传染性疾病，主要由多种人肠道病毒所引起，在国内被定为丙类传染病。其中最为常见的是柯萨奇A组、肠道病毒71型以及其他肠道病毒，具有起病急、进展快、传播途径广等特点，威胁我国儿童健康安全［1］。目前随着公共卫生事业的不断发展和进步，手足口病已经成为公共卫生预防的主要疾病之一［2］。……