上海市长宁区托儿所、幼儿园工作人员体检情况分析

聂燕 尹明敏

摘要：目的  了解我区托儿所、幼儿园工作人员健康状况。方法  收集2016年1月～2019年3月在我院体检的 8770例保教人员资料进行统计分析。结果  ①各类疾病检出率为13.69%，排在前3位的疾病依次是高血压、肝功能异常、胸部X线异常;传染病316例，占疾病及异常的26.31 %，其中滴虫性阴道炎及霉菌性阴道炎、梅毒检出率分别为0.01%和0.11%、0.13 %;②共检出512例高血压患者，不同年龄、性别、文化程度患病率比较，差异有统计学意义（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专及以上;③共检出271例肝功能异常患者，不同性别、文化程度患病率比较，差异有统计学意义（P<0.05），其中男性高于女性，高中及以下学历者高于大专及下者。结论  应进一步加强托儿所、幼儿园上岗前体检和定期检查，确保传染病不进校园。

关键词：幼儿园;工作人员;健康体检;保健管理

中图分类号：R173                                   文献标识码：A                                 DOI：10.3969/j.issn.1006-1959.2020.11.040

文章编号：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《母婴保健法》和《上海市托儿所、幼儿园卫生保健管理实施细则》，本院承担着对辖区70余所托儿所、幼儿园教师、保健老师、育婴师、营养员、保育员、保安、后勤等全部工作人员的体检工作，托儿所、幼儿园工作人员必须完成上岗前及常规每年1次的全面健康体检。为掌握全区托幼园所工作人员健康状况，尤其是传染病检出结果及其动态变化，以便于监督管理、防止疾病传播，现将我区托儿所、幼儿园工作人员健康体检结果分析报道如下。

1对象与方法

1.1研究对象  选择2016年1月～2019年3月在妇幼保健院体检门诊进行体检的托儿所、幼儿园工作人员8770名作为研究对象。