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目的了解洛阳市城乡托幼机构卫生管理现状,为相关卫生管理工作提出建议。方法 2014年6月至2015年10月,对辖区内271家城乡托幼机构卫生管理现状进行调查。结果调查271家托幼机构,城镇130家,乡村141家。城乡托幼机构保健室和幼儿隔离室设置率分别为42.44%、56.09%(P<0.01),工作人员健康检查达标率为62.36%,幼儿定期体检、健康档案建立、每人一巾一杯、晨检、全日健康观察记录、传染病登记记录、传染病管理和责任追究等制度落实率分别为52.77%、64.94%、63.10%、93.73%、70.11%、56.10%、42.44%,食堂餐饮服务许可证配置率50.55%,以上各指标率城镇均高于乡村(P<0.05)。结论调查的城乡托幼机构各项指标与国家要求均有不同程度差距,城镇整体优于乡村,后者是未来托幼机构卫生管理工作的重点。
Objective To understand the health management status of nurseries and nurseries in urban and rural areas in Luoyang and to make suggestions for the related health management. Methods From June 2014 to October 2015, the health management status of 271 nurseries and kindergartens in urban and rural areas was investigated. Results 271 nurseries and kindergartens, 130 towns and 141 villages were investigated. The setting rates of health care room and child care room for nurseries in urban and rural areas were 42.44% and 56.09%, respectively (P <0.01). The compliance rate of health checkup for staff was 62.36%. The regular physical examination and health records for infants were established with one cup and one cup per person The implementation rates of seizures, daily health observation records, infectious disease registration records, infectious disease management and accountability were 52.77%, 64.94%, 63.10%, 93.73%, 70.11%, 56.10% and 42.44% respectively. The catering service license The allocation rate of 50.55%, the above indicators were higher than the towns in rural areas (P <0.05). Conclusions The indexes of urban and rural nurseries and kindergartens surveyed have different degrees of differences with the national requirements. The overall urban and rural areas are superior to the rural areas, which are the focus of health management in nurseries and kindergartens in the future.