摘要
目的了解陕西省某市学生胃肠道症状监测结果与感染性腹泻发病的相互关系,为学校胃肠道传染病疫情的早期预警提供参考依据。方法于某市学校症状监测系统中收集2015-2016学年和2016-2017学年因胃肠道症状缺勤的全部学生个案信息,采用Spearman相关分析法探讨中小学生因胃肠道症状缺勤与感染性腹泻发病间的相关性。结果70所中小学校共报告因胃肠道症状缺勤2 858人次,其中小学生占72. 71%(2 078/2 858)。小学生缺勤症状以腹泻为主,占45. 48%(945/2 078);初中生和高中生缺勤症状均以腹痛为主,分别占61. 23%(338/552)和50. 00%(114/228)。2015-2017年4个学期中小学生因胃肠道症状缺勤与其适龄人群感染性腹泻发病在"本周"的相关系数rs=-0. 556、-0. 131、-0. 569、0. 607,相应P <0. 05、> 0. 05、<0. 05、<0. 05;与中小学生适龄人群感染性腹泻发病在"本周"的相关系数rs=0. 105、-0. 428、-0. 608、0. 510,相应P> 0. 05、> 0. 05、<0. 05、<0. 05。结论小学生胃肠道症状的发生可以预测预警其适龄人群及中小学生适龄人群感染性腹泻发病的波动,但具体的预测预警效能仍需进一步探索。
Objective To get an insight into the relationship between the results of school-based gastrointestinal symptoms surveillance and the incidence of infectious diarrhea in a city in Shaanxi Province,and to provide a reference for early warning of gastrointestinal infectious diseases outbreaks in schools. Methods Surveillance information of all the students who were absent for gastrointestinal symptoms was collected from the school symptom monitoring information system in the 2015-2016 school year and the 2016-2017 school year. Spearman correlation analysis was used to investigate the correlation between gastrointestinal symptoms and diarrhea in primary and secondary school students. Results A total of 2 858 cases of absence due to gastrointestinal symptoms were reported in 70 primary and secondary schools,among which 72. 71%(2 078/2 858) were pupils. Diarrhea was the main symptom led to primary school absence,accounting for 45. 48%(945/2 078). The main symptoms of the absent junior high school students and high school students were abdominal pain,accounting for 61. 23%(338/552) and 50. 00%(114/228) respectively. The incidence of infectious diarrhea in the school-age population had the correlation with the absence due to gastrointestinal symptoms in primary and secondary school students in the four semesters from 2015 to 2017 during "this week"(rs=-0. 556,-0. 131,-0. 569,0. 607,corresponding P < 0. 05, > 0. 05, < 0. 05,and < 0. 05). The correlation coefficients rs= 0. 105,-0. 428,-0. 608,0. 510 respectively for the incidence of infectious diarrhea in the school-age population of primary and secondary school students during"this week"(corresponding P > 0. 05, > 0. 05, < 0. 05,and < 0. 05). Conclusion The occurrence of gastrointestinal symptoms in primary school students can be used to predict among the age-appropriate population and the fluctuation of infectious diarrhea in the age-appropriate population of primary and secondary school students. What’s more,the specific predictive and early warning efficacy still needs further exploration.
作者
何宏灵
王春娟
张辉
HE Hongling;WANG Chunjuan;ZHANG Hui(The First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi 710061,China)
出处
《医学动物防制》
2019年第10期923-926,共4页
Journal of Medical Pest Control
基金
陕西省软科学研究计划一般项目(2018KRM080)
西安市卫生科研项目(J201802036)
关键词
学校卫生
症状监测
肠道传染病
中小学生相关分析
School health
Syndromic surveillance
Intestinal infectious diseases
Primary and secondary students correlation analysis
