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目的探讨流动儿童佝偻病患病的影响因素,为制定预防措施提供依据。方法选取2009年6月1日-2010年9月30日所有就诊于义乌市妇幼保健院3~7岁的临床诊断为佝偻病的儿童为病例组,按照性别和年龄将同期健康体检儿童进行匹配,作为对照组。共收集外地户籍儿童(流动儿童)50对,本地儿童178对(病例与对照为1∶2匹配)。对研究对象的监护人进行问卷调查,内容包括社会经济状况、抚育因素、生活环境因素等;采用匹配资料回归分析筛选佝偻病的影响因素。结果本地儿童佝偻病男性高于女性(OR=1.34);身高高者高于身高低者(OR=1.03)。义乌流动儿童佝偻病身高高者高于身高低者(OR=1.15),反复呼吸道感染是佝偻病的危险因素(OR=2.78)。结论应针对流动儿童佝偻病的影响因素,开展针对性的健康教育和采取预防措施,提高流动儿童健康水平。
Objective To explore the influencing factors of the prevalence of rickets in migrant children and provide the basis for making preventive measures. Methods From June 1, 2009 to September 30, 2010, all children aged 3-7 years who were diagnosed with rickets in Yiwu MCH hospital were selected as the case group, matched with healthy children in the same period according to sex and age, As a control group. A total of 50 pairs of foreign registered children (floating children) and 178 pairs of local children (matched 1: 2 for cases and controls) were collected. A questionnaire survey was conducted on the guardians of the study subjects, including the socio-economic status, raising factors and living environment factors, and the matching factors were used to screen the influencing factors of rickets. Results The prevalence of local rodents in children was higher than that in women (OR = 1.34). The height of children with rickets was higher than that in those with lower height (OR = 1.03). The prevalence of rickets in floating children in Yiwu was higher than that in low height (OR = 1.15), and recurrent respiratory infections were the risk factors for rickets (OR = 2.78). Conclusions Should be targeted at the influencing factors of rickets in migrant children, to carry out targeted health education and preventive measures to improve the health of migrant children.