南京市幼儿园儿童蛲虫感染现状调查  

Investigation on the status of Enterobius vermicularis infection among kindergarten children in Nanjing area

作　　者：殷位刚[1] 何伊莎[1] 杨佩才[1] YINWeigang;HE Yisha;YANG Peicai(Nanjing Municipal Center for Disease Control and Prevention,Nanjing 210003,Jiangsu Province,China)

机构地区：[1]南京市疾病预防控制中心,江苏南京210003

出　　处：《热带病与寄生虫学》2023年第6期344-348,共5页Journal of Tropical Diseases and Parasitology

基　　金：江苏省血地寄科研课题项目(x202124)。

摘　　要：目的 了解南京市儿童蛲虫感染现状,为制定和调整蛲虫病防控措施提供依据。方法 2022年9—10月,采取整群随机抽样方法从南京市12个区分别随机抽取1所幼儿园并对所有在校儿童及其主班老师和家长开展调查。采用透明胶纸肛拭法调查儿童蛲虫感染情况,采用问卷方式调查教师及家长蛲虫病相关知识和症状知晓情况。结果 共调查儿童2 348人,蛲虫感染率为1.32%(31/2 348),其中男童感染率1.38%(17/1 235),女童感染率1.26%(14/1 113),差异无统计学意义(χ~2=0.063,P>0.05)。儿童的感染率呈随年龄增长而升高的趋势(χ~2_(趋势)=8.472,P<0.05)。公立幼儿园的儿童蛲虫感染率(0.95%,15/1 575)低于私立幼儿园(2.07%,16/773)(χ~2=4.970,P<0.05);城区幼儿园儿童感染率(1.48%,20/1 352)与乡镇幼儿园(1.10%,11/996)差异无统计学意义(χ~2=0.619,P>0.05)。幼儿园教师和学生家长对于蛲虫病的知识知晓合格率分别为92.65%(63/68)和84.29%(1 889/2 241),症状知晓合格率分别为92.65%(63/68)和87.55%(1 962/2 241),差异均无统计学意义(χ~2=3.524、1.589,P均>0.05)。公立幼儿园教师的知识知晓和症状知晓合格率分别为97.87%(46/47)和100.00%(47/47),私立幼儿园分别为80.95%(17/21)和76.19%(16/21);公立幼儿园学生家长的知识知晓和症状知晓合格率分别为86.10%(1 301/1 511)和89.28%(1 349/1 511),私立幼儿园分别为80.55%(588/730)和83.97%(613/730);上述合格率公立幼儿园均高于私立(χ~2=3.869、8.836、11.467、12.713,P均<0.05)。结论 南京市私立幼儿园儿童蛲虫感染率相对较高,其教师和家长蛲虫病相关知识知晓率相对较低。应有针对性地开展防治工作和健康宣教,有效降低儿童蛲虫感染率。Objective To understand the current status of Enterobius vermicularis infection among children in Nanjing area for evidences to formulate and modify corresponding prevention and control measures.Methods By clustered random sampling method,we randomly selected one kindergarten from each of the 12 districts of Nanjing City,and all children,together with the homeroom teachers and the parents in the 12 kindergartens underwent survey between Septem-ber and October 2022.Cellophane tape and anal swabs were used to detect Enterobius vermicularis infection,and ques-tionnaire survey was conducted on the knowledge and symptoms of Enterobius vermicularis infection in the teachers and the parents.Results In total,2348 children were surveyed.The infection rate of pinworms was 1.32%(31/2348),1.38%(17/1235)for boys and 1.26%(14/1113)for girls,respectively.The difference was insignificant between boys and girls(χ2=0.063,P>0.05),yet the infection rate showed a trend of increasing with age among children of different ag-es(χ2rend=8.472,P<0.05).Children in public kindergartens had a lower infection rate(0.95%,15/1575)than those in pri-vate kindergartens(2.07%,16/773)(χ2=4.970,P<0.05).There was no significant difference in the infection rates between kindergartens located in urban areas(1.48%,20/1352)and rural areas(1.10%,11/996)(χ2=0.619,P>0.05).The quali-fied rate of knowledge about enterobiasis among teachers and parents was 92.65%(63/68)and 84.29%(1889/2241),and the qualified rate of symptom awareness was 92.65%(63/68)and 87.55%(1962/2241),respectively.Both had no significant difference(χ2=3.524,1.589,both P>0.05).The qualified rates of knowledge and symptom awareness was 97.87%(46/47)and 100.00%(47/47)for public kindergarten teachers,80.95%(17/21)and 76.19%(16/21)for private kindergarten teachers,respectively.The qualified rates of knowledge and symptom awareness among parents of public kindergarten students was 86.10%(1301/1511)and 89.28%(1349/1511),while that among private kindergarten par-ents was 80.55%(588/730)and 83.9

关 键 词：蛲虫 感染率 幼儿园 南京市 

分 类 号：R532.13[医药卫生—内科学]