关键词: 托幼机构, 儿童, 卫生保健, 浙江

Abstract: Objective In order to further grasp the status of health care in kindergartens,standardize the health care management of children,so as to improve the level of health care in kindergartens in Zhejiang province. Method According to the annual report system of health care in kindergartens in Zhejiang province,the status of children′s health care,the health evaluation and health care personnel in kindergartens in Zhejiang province were investigated from 2006 to 2017. Results The prevalence of dental caries was the highest with the rate of 31.83% in kindergartens in Zhejiang province,followed by poor eyesight,anemia,obesity,malnutrition and amblyopia. The prevalence of anemia and malnutrition of children in kindergartens decreased,while the prevalence of obesity,poor eyesight and dental caries increased from 2006 to 2017. The prevalence rates of anemia and dental caries in urban kindergartens were significantly lower than those in rural areas(t=-3.26,-2.87,P＜0.05),while the prevalence rates of poor eyesight and amblyopia were significantly higher than those in rural areas(Z=-2.98,-2.56,P＜0.05). The rate of full-time health care personnel increased,with the rate of 36.05%. And the rate of full-time health care personnel in urban kindergartens was higher than that in rural areas(t=6.48,P＜0.05). The qualified rates of health evaluation in kindergartens and nurseries in Zhejiang province were 98.67% and 96.72%,respectively,and there was no difference between urban and rural areas(χ²=0.000,0.001,P＞0.05). Conclusions It is suggested to take corresponding countermeasures and focus on oral and visual health according to the incidence of common diseases of children in kindergartens. Meantime,increasing the rate of full-time health care personnel in kindergartens is conducive to promoting the improvement of children′s health care.

Key words: nursery and kindergarten, children, health care, Zhejiang