广州市海珠区配置校医晨检资料分析  

Analysis of morning examination data of school doctors in Haizhu District of Guangzhou City

作　　者：刘仲明[1] 阎蓉 郭钜旋[1] 李晗文[1] LIU Zhong-ming;YAN Rong;GUO Ju-xuan;LI Han-wen(Haizhu District Center for Disease Control and Prevention,Guangzhou 510288,Guangdong,China)

机构地区：[1]广州市海珠区疾病预防控制中心,广东广州510288

出　　处：《中国校医》2021年第2期88-90,96,共4页Chinese Journal of School Doctor

基　　金：2017年度海珠区科技计划项目立项(海科工商信〔2018〕95号)。

摘　　要：目的研究海珠区实施社区卫生服务中心配置校医学校的晨检报告、因病缺勤情况,分析评价配置校医的辖区学校疑似传染病症状报告质量,为全区推广配置校医工作提供科学依据。方法以海珠区内配置专职校医的52所学校为配置组,53所未配置校医的学校为未配置组,收集整理2018年4月1日—2019年4月1日新版运行的广州市学生健康监测系统数据,对比分析2组学校晨检疾病症状上报人次、因病缺勤人次、上报率和及时上报率情况。结果配置组和未配置组各传染病症状的平均上报人次构成比居前3位的均是发热(30.55%,53.11%)、咳嗽(16.32%,27.24%)和呕吐(6.15%,8.44%)。配置组因病缺勤的疾病构成比居前3位的是上呼吸道感染(39.28%)、原因不明/其他(24.11%)和水痘(10.41%),未配置组的因病缺勤的疾病构成比居前3位的是上呼吸道感染(47.15%)、原因不明/其他(28.12%)和胃肠道疾病(8.03%)。配置组传染病症状总平均上报人次与因病缺勤平均上报人次均高于未配置组,差异有统计学意义(P<0.05)。配置组晨检总上报率和总及时上报率均高于未配置组,且差异有统计学意义(P<0.05)。结论配置专职校医的学校开展晨检报告工作更及时高效,切实提升了本区传染病报告质量。Objective To study the morning examination reports and school absenteeism for diseases and analyze the quality of reports of suspected infectious diseases in schools in the community health service center in Haizhu District,so as to provide the evidence for the promotion and deployment of school health work in the district.Methods The 52 schools with school doctors in Haizhu District were selected as a configuration group,and 53 schools without school doctors were selected as a non-configuration group.The data were collected from Guangzhou Student Health Monitoring System(new version)from April 1,2018 to April 1,2019.The reported times of infectious disease symptoms,the number of school absenteeism for diseases,and the morning examination rates of reporting and timely reporting of the two groups were analyzed and compared.Results The top three reported times of infectious disease symptoms in both groups were fever(30.55% and 53.11%),cough(16.32% and 27.24%),and vomiting(6.15% and 8.44%).In the configuration group,the top three of the school absenteeism constituent ratios were the upper respiratory tract infection(39.28%),unknown aetiology/other(24.11%),and chickenpox(10.41%),and in the non-configuration group,the top three were upper respiratory tract infections(47.15%),unknown aetiology/other(28.12%)and gastrointestinal diseases(8.03%).The total reported person-times of infectious disease symptoms and the reported person-times of absenteeism for diseases in the configuration group were higher than those in the non-configuration group,and the difference was statistically significant(P<0.05).The total morning examination reporting rate and total timely reporting rate of the configuration group were higher than those of the non-configuration group,and the difference was statistically significant(P<0.05).Conclusion The schools equipped with full-time medical doctors are more timely and efficient in carrying out morning examination reports,which effectively improves the overall health of schools in Haizhu District.

关 键 词：中小学生卫生保健服务 传染病 公共卫生监测 

分 类 号：G478[文化科学—教育学]