广西0～4岁儿童腹泻监测及口服补液疗法推广应用的研究  

A Study on Observation of Diarrhea and ORT Applied for Children Aged 0～4 in Guangxi.

作　　者：陈华业[1] 刘维兰[1] 梁继华[1] 周国平[1] 林戈[1] 

机构地区：[1]广西壮族自治区妇幼保健院,南宁530003

出　　处：《中国儿童保健杂志》1999年第3期143-145,共3页Chinese Journal of Child Health Care

基　　金：卫生部批准世行贷款项目

摘　　要：目的　为了降低农村儿童腹泻死亡率,对广西0 ～4 岁儿童实行腹泻监测管理及应用口服补液疗法( ORT) 。　方法　整群随机抽取4 个县的6 257 名5 岁以下儿童进行为期一年的腹泻监测及ORT 推广应用。注意提高乡村医生的卫生服务能力和社区群众利用服务的能力,并进行阶段性评估。　结果　监测管理后腹泻罹患率由13 .15 % 降低至7 .10 % ,下降了46 % ;死亡率由4 .50 ‰降为零;完全母乳喂养率升至86 .44 % ;腹泻儿童ORT 应用率达93 .98 % ,总有效率为98 .90 % ;家长腹泻管理知识合格率由25 .95 % 提高到90 .36 % 。　结论　在农村全面实施儿童腹泻监测管理及推广应用ORT 是降低腹泻发病率和死亡率最有效的适宜技术,也是最经济、实用、方便。Objective To reduce the diarrhea death rate of children in the countryside, monitoring management and ORT treatment on diarrhea was carried out for children aged 0～4 in Guangxi. Methods 6 257 children below 5 years old were chosen by random sampling in 4 county, widespread monitoring management and ORT on diarrhea were carryed out for one year. During observation, the doctor's sanitary service ability in the countryside and utilitarian service ability of community people were improved,the estimation by stage was made too. Results By monitoring management,the incidence rate of diarrhea had dropped from 13.15% to 7.10%, reducing 46%; mortality dropped from 4.50‰ to 0; pure breast feeding rate rose to 86.44%; the ORT applied rate of diarrhea case reached 93.98%; and the total effective rate reached 98.90%; for parents, the management knowledge qualified rate had rose from 25.95% to 90.36%. Conclusions To reduce incidence rate and mortality of diarrhea, widespread monitoring management and ORT were the most effective and suitable technology in the countryside, and it is also the most economic、practical、convenient、feasible health measure for supporting poverty.

关 键 词：腹泻 监测 健康教育 儿童 口服补液 

分 类 号：R512.5[医药卫生—内科学]