云南贫困地区0～5岁儿童腹泻影响因素分析  

Analysis of influencing factors of diarrhea among children under 5 years in Yunnan poor areas

作　　者：仇赛云[1] 沈建华[1] 房少华[1] 刘锦桃[1] 忽丽莎[1] 

机构地区：[1]云南省妇幼保健院儿童保健科,昆明650051

出　　处：《中国生育健康杂志》2009年第2期82-85,共4页Chinese Journal of Reproductive Health

摘　　要：目的了解云南省贫困县5岁以下儿童腹泻的患病情况以及影响因素,为制定腹泻病的防治措施提供科学依据。方法采用整群和典型抽样相结合的方法,抽取4个县5岁以下儿童及家长,进行问卷调查、体格检查,测量方法参考"全国九市体格发育调查"的测量方法。结果5岁以下儿童急性腹泻患病率5.4%(228/4 209)、慢性腹泻患病率4.3%(180/4 152);6月年龄组急性腹泻和慢性腹泻的患病率均高于4岁年龄组(P<0.05);急性腹泻患病率双柏县高于新平,差异有统计学意义(χ2=26.2,P=0.000),慢性腹泻患病率除建水县和新平县,2组无差异外,其他各组两两比较,差异均有统计学意义(P=0.000)。结论婴儿期特别是6月～12月龄合理添加辅食,合理喂养是预防腹泻的重要措施。Objective To understand the prevalence of diarrhea among children under 5 and the influencing factors in the four rural counties of Yunnan Province, so as to provide the evidence for prevention and treatment of diarrhea in these areas. Methods Children under 5 and their parents, selected by cluster and typical sampling in those areas, are surveyed by questionnaire and physical examination. The measuring methods correspond with the national nine cities＇ physique growth investigation in China. Results The acute diarrhea prevalence of children under 5 is 5. 4 % （228/4 209） , and the chronic diarrhea prevalence is 4. 3 % （80/4 152）. The prevalences of both acute and chronic diarrhea for the 6-month-old group are higher than for 4-year-old group （ P 〈 0. 05 ）. The acute diarrhea prevalence in Shuanbai County is significandy higher than that in Xinpin County （χ^2 = 26.2, P = 0. 000）. There is significant difference for chronic diarrhea prevalence in all countries except between Jianshui and Xinpin County （ P = 0. 000 ）. Conclusion Proper supplementary food addition and reasonable feeding is the key method for preventing diarrhea in infant period, especially between 6 and 12 month of age.

关 键 词：5岁以下儿童 腹泻 合理喂养 

分 类 号：R725.7[医药卫生—儿科]