摘要
目的 为了降低农村儿童腹泻死亡率,对广西0～4岁儿童实行腹泻监测管理及应用口服补液疗法(ORT).方法 整群随机抽取4个县的6257名5岁以下儿童进行为期1年的腹泻监测及ORT推广应用.注意提高乡村医生的卫生服务能力和社区群众的利用服务能力,并进行阶段性评估.结果 监测管理后腹泻罹患率由13.15%降至7.m%,下降了46%;死亡率由4.50‰降为零;母乳喂养率升至86.44%;腹泻儿童ORT应用率达 93.98%,总有效率为 98.90%;家长管理知识合格率由25.95%提高到90.36%.结论 在农村全面实施儿童腹泻监测管理及推广应用ORT是降低腹泻发病率和死亡率最有效的适宜技术,也是最经济、实用、方便、可行的卫生扶贫举措.
ve To monitor diarrhea with application of ORT and reduce mortality of diarrhea for chidren under 5 years in countryside of Guangxi. Methods 6 257 children under 5 years were sampled with random groupstratification. They had been monitored with useing ORT for one year, levers of the abilities of village dortor' s service and of serving utilization in countryside community were aid attention and assessed phasicly. Resules Before and after the monitor the incidence of diarrhea (ID) were 13. 15% and 7. 10%, the reduce of ID was 46 %; mortality of diarrhea were 4.5% and 0% ; breastfeeting rate wer 61. 22% and 86. 44% ;ORT application rate were 32. 91 % and 93. 98% ;qualified rate for parental manegcmental knowledge test were 25. 95% and 90.67% respectively. Total effective rate was 98. 9% . Conclusion Monitor diarrhea with application ORT were the most effective and suitable technology for reducing incidence and mortality of diarrhea, and also the most economic, practical, convinitent feasible health measurement for helping poverty-striken people.
基金
卫生部批准世界银行贷款项目
