目的了解沈阳市托幼机构消毒工作质量及卫生状况。方法采用现场抽样进行连续检测。结果 2010~2012年消毒质量合格率分别为75.2%、80.1%和83.6%,差异有统计学意义(χ2=8.833,27.33,P<0.01;χ2=5.22,P<0.05)。一般物体表面及室内空气消毒合格率分别为95.9%和77.9%,差异无统计学意义(χ2=0.023,0.338,P>0.05);工作人员及幼儿手合格率分别为70.1%和40.1%;3年期间合格率逐年提高,差异有统计学意义(χ2=8.999,22.433,11.678,P<0.01;χ2=4.962,P<0.05);公立、民营及个体消毒质量合格率分别为85.0%、78.8%及66.4%,差异有统计学意义(χ2=19.077,108.061,34.436,P<0.01)。结论沈阳市近三年托幼机构消毒质量合格率逐年提高,其中物体表面和工作人员手合格率尚可、室内空气及幼儿手合格率较低,应引起足够重视;不同性质托幼机构之间合格率差异有统计学意义,今后应加强民营及个体托幼机构的监测与管理工作。 Objective To understand the quality of disinfection work and health status of nurseries in Shenyang. Methods Continuous sampling was conducted on site. Results The pass rate of disinfection quality was 75.2%, 80.1% and 83.6% respectively from 2010 to 2012 (χ2 = 8.833,27.33, P <0.01; χ2 = 5.22, P <0.05). The pass rates of general object surfaces and indoor air disinfection were 95.9% and 77.9% respectively, with no significant difference (χ2 = 0.023,0.338, P> 0.05). The passing rates of workers and children were 70.1% and 40.1% respectively. The passing rate of the public, private and individual was 85.0% and 78.8%, respectively, year by year, the difference was statistically significant (χ2 = 8.999,22.433,11.678, P <0.01; χ2 = 4.962, P < And 66.4% respectively, with significant difference (χ2 = 19.077,108.061,34.436, P <0.01). Conclusion The passing rate of disinfection quality of nurseries in Shenyang in recent three years has been increasing year by year. The passing rate of the surface of the objects and the staffs is acceptable, and the passing rate of indoor air and young children is low, which should be paid enough attention. The difference in pass rates was statistically significant. In the future, the monitoring and management of private and individual nurseries should be strengthened.