Wongsaroj T, Thavornnunth J, Charanasri U
Division of General Communicable Diseases, Ministry of Public Health, Nonthaburi, Thailand.
J Med Assoc Thai. 1997 Mar;80(3):178-82.
An evaluating study was carried out among 15,466 children from households randomized from 30 clusters from twelve provinces of twelve regions of Thailand. Results of this study revealed 5.13 per cent of incidence-rate of diarrhea among young children aged under five years with an average of annual prevalence of 1.3 per child. The overall mortality-rate and diarrhea associated death were 51.7 per 100,000 and 6.5 per 100,000 respectively. The utilization of ORS was 25.6 per cent while the using-rate of sugar salt solution (SSS) and the use of recommended home fluids were 2.8 and 33.8 per cent respectively. As for treatment, the intravenous therapy was 6.2 per cent and the use of different types of drugs varied from 18.0 to 21.3 per cent. Only 23.7 per cent of parents could correctly prepare the ORS. The authors have made recommendations for the strengthening of community health education aiming at better promotion of ORS and other home care practices for diarrhea as important measures for lowering mortality together with relating preventive interventions.
在泰国十二个地区十二个省份的30个群组中，对随机抽取家庭的15466名儿童进行了一项评估研究。该研究结果显示，五岁以下幼儿腹泻发病率为5.13%，平均每名儿童年患病率为1.3次。总死亡率和腹泻相关死亡率分别为每10万人51.7人和每10万人6.5人。口服补液盐（ORS）的使用率为25.6%，而糖盐溶液（SSS）的使用率和推荐家庭液体的使用率分别为2.8%和33.8%。至于治疗，静脉治疗率为6.2%，不同类型药物的使用率在18.0%至21.3%之间。只有23.7%的家长能够正确配制口服补液盐。作者提出了加强社区健康教育的建议，旨在更好地推广口服补液盐和其他腹泻家庭护理措施，作为降低死亡率的重要措施以及相关的预防干预措施。
