上海市崇明区居民急性胃肠炎患病情况及影响因素分析  

Analysis on the status and influence factors of acute gastroenteritis in residents of Chongming district, Shanghai

作　　者：施杨利 陈耀明[1] 周柳柳 王东 Shi Yangli;Chen Yaoming;Zhou Liuliu;Wang Dong(Department of Gastroenterology,Chongming Branch,Tenth People's Hospital,Tongji University,Shanghai 202157,China)

机构地区：[1]同济大学附属第十人民医院崇明分院消化内科,上海202157

出　　处：《山西医药杂志》2019年第10期1159-1162,共4页Shanxi Medical Journal

摘　　要：目的对上海市崇明区居民急性胃肠炎患病情况及影响因素进行分析,为针对性开展疾病防控提供依据。方法采用多阶段分层随机抽样方法对崇明区居民开展为期12个月的入户调查,了解过去4周急性胃肠炎的患病情况。结果 2017年6月至2018年6月,共调查956人,过去4周急性胃肠炎的总患病率为5.65%(54/956),就诊率为38.9%(21/54),病原检测率为38.1%(8/21),药物使用率为76.2%(16/21),其中61.9%(13/21)使用止泻药,52.3%(11/21)使用抗生素。不同年龄、文化程度、家庭人口、季节、外出差旅或就餐的居民中4周急性胃肠炎患病率比较,差异均具有统计学意义(P<0.05);春夏季、0～4岁年龄段、家庭人口>3人、过去4周外出差旅或就餐者,急性胃肠炎患病风险较高(P<0.05)。结论上海市崇明区居民急性胃肠炎患病情况与全国水平接近,5岁以下人群、春夏季、家庭人口多(>3人)、外出差旅或就餐等因素与急性胃肠炎发病存在相关性,低就诊率、低病原检测率及不规范的抗生素使用等问题仍不容忽视。Objective To investigate the status and influence factors of acute gastroenteritis in residents of Chongming district in Shanghai, in order to provide basis for targeted disease control and prevention. Methods The multi-stage stratified random sampling method was used to conduct a 12-month household survey of residents in Chongming district to understand the prevalence of acute gastroenteritis in the past 4 weeks. Results From June 2017 to June 2018, a total of 956 people were investigated. The total prevalence of acute gastroenteritis in the past 4 weeks was 5.65%(54/956), the consultation rate was 38.9%(21/54), the pathogen detection rate was 38.1%(8/21), and the drug use rate was 76.2%(16/21), among which 61.9%(13/21) used antidiarrheal drugs and 52.3%(11/21) used antibiotics. There were statistically significant differences in the 4-week prevalence of acute gastroenteritis among residents of different ages, education levels, family population, seasons, traveling or dining outside (P<0.05). The risk of acute gastroenteritis was higher in spring and summer, people aged 0 to 4 years old, family of > 3 members, and those who went out for business or dining in the past 4 weeks (P<0.05). Conclusions The prevalence of acute gastroenteritis in residents of Chongming district in Shanghai was close to the national level, people under the age of 5, spring and summer, family members> 3 , traveling or dining outside are correlated with the onset of acute gastroenteritis, and the problems of low rate of consultation, low rate of pathogen detection and irregular antibiotic use cannot be ignored.

关 键 词：胃肠炎 患病率 疾病影响状态调查 

分 类 号：R57[医药卫生—消化系统]