土源性线虫感染对儿童生活质量影响因素分析  

Analysis on the effect of soil-transmitted helminth infection on quality of life for children

作　　者：尚煜[1] 石小勇[2] 闫承生[1] 翟书梅 李中秋[1] 江燕[1] 汤林华[4] 

机构地区：[1]河北省妇幼保健中心 [2]石家庄市长安区医院 [3]石家庄市正定县人民医院 [4]中国疾病预防控制中心寄生虫病预防控制所,上海200025

出　　处：《中国妇幼保健》2011年第7期1061-1063,共3页Maternal and Child Health Care of China

基　　金：河北省2010年医学科学研究重点课题计划项目〔20100019〕

摘　　要：目的:探讨土源性线虫(STH)感染对儿童生活质量的影响,为提高儿童尤其是STH感染儿童生活质量提供依据。方法:采用Kato-Katz法,对小学5～6年级儿童进行粪便病原学检查,一送三检查蛔虫、钩虫、鞭虫等土源性线虫虫卵,并按WHO标准感染度分级为轻、中、重度感染;应用SF-12量表对参与粪检的507例儿童进行问卷调查。结果:回收合格问卷472份。STH感染175例,感染率37.1%。中重度以上感染79例,感染率16.7%;中重度STH感染儿童生理评分(PCS)和心理评分(MCS)(14.32±3.69和16.08±4.17),低于轻度感染儿童PCS和MCS(15.54±3.37和17.30±4.39)及未受感染儿童PCS和MCS(16.86±3.37和18.68±3.84),差异有统计学意义(P<0.001);逐步回归分析显示,影响儿童生活质量的主要因素:土源性线虫感染、母亲文化、过去1个月经常腹痛、饭前便后不洗手、过去1个月是否患病等。结论:STH感染影响儿童生活质量。做好学龄儿童卫生保健,养成良好卫生习惯,重视儿童慢性疾病的预防与控制,提高父母文化是改善STH感染儿童生活质量的重要途径。Objective：To explore the effect of soil-transmitted helminth（STH） infection on quality of life for children,provide a basis for improving the quality of life for children with STH infection. Methods：Kato-Katz method was used for pathological detection,ova detection of STHs including roundworm,hookworm and trichocephalus of excrement in students of grade 5~6,STH infections was divided into mild,middle and severe infection according to WHO standard;SF-12 scale was used to survey 507 children receiving detection of excrement. Results：472 pieces of questionnaire were collected;the infection rate of STH was 37.1%（175 children）,the rate of middle and severe infection was 16.7%（79 children）;the physiological score and psychological score of children with middle and severe infection were（14.32±3.69） and（16.08±4.17）,respectively,which were significantly lower than those of children with mild infection [（15.54±3.37） and（17.30 ±4.39）,respectively] and those of children without STH infection [（16.86±3.37） and（18.68 ±3.84）,respectively]（P0.001）.Stepwise regression analysis showed that the main effect factors included STH infection,maternal educational level,frequent abdominal pain in the past year,not washing hands before meal,suffering from some diseases or not in the past month. Conclusion：STH infection affects the quality of life for children,the main measures of improving quality of life for children with STH infection include enhancing health care of school children,forming good health habits,paying attention to prevention and control of children with chronic diseases and increasing the educational levels of parents.

关 键 词：土源性线虫感染 儿童 生活质量 SF-12量表 影响因素 

分 类 号：R383.1[医药卫生—医学寄生虫学]