安徽省涡阳县幼儿园儿童蛲虫感染现状调查  

A survey on Enterobius vermicularis infection among pre-school children in Guoyang County of Anhui Province

作　　者：王小莉[1] 周琦 石傲 李亮[2] 王媛媛[1] 胡守锋[3] 崔洁[3] WANG Xiao-li;ZHOU Qi;SHI Ao;HU Shou-feng;LI Liang;WANG Yuan-yuan;CUI Jie(Department of Microbiology and Parasitology, Bengbu Medical College, Anhui Key Laboratory of Infection and Immunity, Bengbu 233030, China;Microscopic Morphology Experiment Center, Bengbu Medical College, Bengbu 233030, China;Department of Biology and Food Engineering, Bengbu University, Bengbu, 233000, China)

机构地区：[1]蚌埠医学院病原生物学教研室,安徽省感染与免疫重点实验室,蚌埠233030 [2]蚌埠学院食品与生物工程系,蚌埠233030 [3]蚌埠医学院显微形态实验中心,蚌埠233030

出　　处：《中国寄生虫学与寄生虫病杂志》2018年第2期139-143,共5页Chinese Journal of Parasitology and Parasitic Diseases

基　　金：安徽省教育厅重点项目(No.KJ2016A708); 安徽省自然科学研究一般项目(No.KJ2015B034by); 蚌埠医学院自然科学基金(No.BYKY1438); 安徽省大学生创新创业训练计划项目(No.201511305003)

摘　　要：目的了解安徽省涡阳县幼儿园儿童蛲虫感染现状及影响因素。方法于2016年6-10月,采用分层随机抽样法调查涡阳县幼儿园儿童蛲虫感染情况。根据地理位置,将全县划分成东、南、西、北等4个片区,每个片区抽取2~3所日托幼儿园,共10所。以幼儿园为单位,随机抽取小班、中班、大班各1个班,各个年龄组和性别保持相对均衡。在家长知情同意情况下,采用透明胶纸肛拭法检查儿童蛲虫感染情况,同时通过问卷调查儿童家庭、学校和个人卫生习惯等情况,分析儿童蛲虫感染的影响因素。结果共调查1 035名儿童,有效问卷1 011份,合格率为97.6%(1 011/1 035)。涡阳县幼儿园儿童的蛲虫总感染率为6.8%(69/1 011)。男、女童的蛲虫感染率分别为8.0%(41/513)和5.6%(28/498),差异无统计学意义(χ~2=2.231,P>0.05)。大班儿童的蛲虫感染率最高,为10.1%(36/355);中班、小班儿童的蛲虫感染率分别为6.4%(22/345)和3.5%(11/311),不同年级儿童的蛲虫感染率差异有统计学意义(χ~2=11.534,P<0.05)。公立、私立幼儿园儿童的蛲虫感染率分别为6.4%(32/497)和7.2%(37/514),差异无统计学意义(χ~2=0.229,P>0.05)。乡(镇)级、县级幼儿园儿童的蛲虫感染率分别为8.0%(53/661)和4.6%(16/350),差异有统计学意义(χ~2=4.275,P<0.05)。家庭居住地为农村、城区的儿童蛲虫感染率分别为8.7%(51/585)和4.2%(18/426),差异有统计学意义(χ~2=7.824,P<0.05)。母亲文化程度为高中以上的儿童蛲虫感染率最低,为5.6%(48/854),母亲文化程度不同的儿童蛲虫感染率差异有统计学意义(χ~2=17.154,P<0.01);父亲文化程度不同的儿童蛲虫感染率差异无统计学意义(χ~2=3.813,P>0.05)。饭前不洗手与饭前洗手、咬手指与不咬手指、咬玩具与不咬玩具的儿童蛲虫感染率分别为8.2%(43/524)和5.3%(26/487)、8.3%(35/423)和5.8%(34/588)、9.0%(25/279)和6.0%(44/732),差异均无统计学意义(χ~2=3.263、2.402、2.764,均P>0.05)�Objective To understand the status of Enterobius vermicularis infection among pre-school children in Guoyang County of Anhui Province and its risk factors Methods E. vermicularis infection was surveyed using a stratified random sampling method from June to October, 2016. The whole county was divided geographically into east, south, west and north parts, and in each part 2-3 kindergartens were selected to reach a total of 10. In each kindergarten, age-and sex-matched classes of junior level, middle level, and senior level were randomly selected（n = 1 class for each level）. E. vermicularis infection was examined by using adhesive cellophane anal swab in the morning with permission from parents. Information on family and school sanitary conditions and personal health habit was collected through a questionnaire, in order to analyze potential risk factors. Results A total of1 035 children were surveyed, and 1 011（ 97. 6 %） valid questionnaires were received. The overall infection rate of E. vermicularis was 6.8%（69/1 011）. The infection rate in females and males was 5.6%（28/498） and 8.0%（41/513）, respectively（χ^2= 2.231, P〈0.05）. Children in the senior class had highest infection rate of 10.1%（36/355）,followed by the middle class 6.4%（22/345） and the junior class 3.5%（11/311）（ χ^2= 11.534, P〈0.05）. There was no significant difference in the infection rate between public（6.4%, 32/497） and private kindergartens（7.2%, 37/514）（χ^2= 0.229, P〈0.05）. The infection rate in town-and county-level kindergartens was 8.0%（53/661） and4.6%（16/350）, respectively（ χ^2= 4.275, P〈0.05）. The infection rate in rural areas（8.7%, 51/585） was significantly higher than that in urban areas（4.2%, 18/426）（ χ^2= 7.824, P〈0.05）. The infection rate among those with a maternal education level of senior high school and above had the lowest infection rate（5.6%, 48/854）. Unlike the significant difference among those with different maternal education levels（

关 键 词：蛲虫 感染 涡阳县 幼儿园 学龄前儿童 危险因素 

分 类 号：R532.13[医药卫生—内科学]