上海市長寧區托兒所、幼兒園工作人員體檢情況分析

聶燕 尹明敏

摘要：目的 ?了解我區托兒所、幼兒園工作人員健康狀況。方法 ?收集2016年1月～2019年3月在我院體檢的 8770例保教人員資料進行統計分析。結果 ?①各類疾病檢出率為13.69%，排在前3位的疾病依次是高血壓、肝功能異常、胸部X線異常;傳染病316例，占疾病及異常的26.31 %，其中滴蟲性陰道炎及霉菌性陰道炎、梅毒檢出率分別為0.01%和0.11%、0.13 %;②共檢出512例高血壓患者，不同年齡、性別、文化程度患病率比較，差異有統計學意義（P<0.05），其中男性高于女性，高中及以下文化程度者患病率高于大專及以上;③共檢出271例肝功能異常患者，不同性別、文化程度患病率比較，差異有統計學意義（P<0.05），其中男性高于女性，高中及以下學歷者高于大專及下者。結論 ?應進一步加強托兒所、幼兒園上崗前體檢和定期檢查，確保傳染病不進校園。

關鍵詞：幼兒園;工作人員;健康體檢;保健管理

中圖分類號：R173 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 文獻標識碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? DOI：10.3969/j.issn.1006-1959.2020.11.040

文章編號：1006-1959（2020）11-0129-03

Abstract：Objective ?To understand the health status of nursery and kindergarten staff in our district.Methods ?The data of 8770 nursing staff who were examined in our hospital from January 2016 to March 2019 were collected for statistical analysis.Results ?①The detection rate of various diseases was 13.69%， and the top three diseases were hypertension， abnormal liver function， and abnormal chest X-rays; 316 infectious diseases accounted for 26.31%， among which the detection rates of trichomonas vaginitis， fungal vaginitis， and syphilis were 0.01%， 0.11%， and 0.13%; ②Among 512 hypertensive patients， the prevalence of different ages， genders， and education levels was statistically significant （P<0.05）. Among them， males were higher than females， and those with high school education and below had higher prevalence than colleges and above; ③A total of 271 patients with abnormal liver function were detected. The prevalence of different genders and educational levels was compared，the difference was statistically significant（P<0.05）.Among them， men were higher than women， and those with high school education and below were higher than those with junior college and lower education.Conclusion ?It is necessary to further strengthen the physical examination and regular inspection before taking care of nurseries and kindergartens to ensure that infectious diseases do not enter campus.

Key words：Kindergarten;Staff;Health examination;Health management

根據《母嬰保健法》和《上海市托兒所、幼兒園衛生保健管理實施細則》，本院承擔著對轄區70余所托兒所、幼兒園教師、保健老師、育嬰師、營養員、保育員、保安、后勤等全部工作人員的體檢工作，托兒所、幼兒園工作人員必須完成上崗前及常規每年1次的全面健康體檢。為掌握全區托幼園所工作人員健康狀況，尤其是傳染病檢出結果及其動態變化，以便于監督管理、防止疾病傳播，現將我區托兒所、幼兒園工作人員健康體檢結果分析報道如下。

1對象與方法

1.1研究對象 ?選擇2016年1月～2019年3月在婦幼保健院體檢門診進行體檢的托兒所、幼兒園工作人員8770名作為研究對象。