CAJ | 학술논문

目的了解北京市西城区集体儿童健康状况变化趋势，为儿童保健管理决策提供依据。方法采用时间序列比较法对北京市西城区2003至2012年集体儿童保健年报资料进行分析。结果10年间儿童低体重、生长迟缓和消瘦患病率均低于0．25％；儿童贫血率逐年下降；儿童肥胖检出率有逐年下降趋势（χ2＝30．11，P＜0．05），但其检出率仍较高（5．49％），5～6岁儿童明显高于3～4岁儿童；儿童龋患率高于30％，4～6岁集体儿童视力低常检出率呈逐年下降趋势，儿童弱视患病率也有下降趋势（χ2值分别为31．51、15．43，均P＜0．05）。结论北京市西城区托幼园所3～6岁儿童健康状况良好，预防和干预儿童肥胖、口腔龋齿和视力低常仍是今后工作重点。
목적료해북경시서성구집체인동건강상황변화추세，위인동보건관리결책제공의거。방법채용시간서렬비교법대북경시서성구2003지2012년집체인동보건년보자료진행분석。결과10년간인동저체중、생장지완화소수환병솔균저우0．25％；인동빈혈솔축년하강；인동비반검출솔유축년하강추세（χ2＝30．11，P＜0．05），단기검출솔잉교고（5．49％），5～6세인동명현고우3～4세인동；인동우환솔고우30％，4～6세집체인동시력저상검출솔정축년하강추세，인동약시환병솔야유하강추세（χ2치분별위31．51、15．43，균P＜0．05）。결론북경시서성구탁유완소3～6세인동건강상황량호，예방화간예인동비반、구강우치화시력저상잉시금후공작중점。
Objective To investigate the trend of collective children's health status in Xicheng District of Beijing , so as to contribute to the more evidence-based decisions on children's health-care management within the district .Methods Based on annual reports on children's health-care in Xicheng District from 2003 to 2012, the data were extracted and examined with chronological comparison .Results The prevalence of low weight , growth retardation and wasting disease was below 0.25% during these 10 years.The prevalence of anemia decreased year by year .The prevalence of childhood obesity still remained at a comparatively high level (5.49%) but went down year by year(χ2 =30.11, P<0.05).It was significantly higher in 5 to 6 year-old children than in 3 to 4 year-old ones.The prevalence of dental caries was above 30%.The incidence of subnormal vision among 4-6 years old children decreased year by year , and the rate of amblyopia was also decreased year by year (χ2 value was 31.51 and 15.43, respectively, both P<0.05).Conclusion In Xicheng District, the general health status of 3 to 6 year old children in nurseries and kindergartens is good .In future, more attention needs to be paid to prevention and intervention of childhood obesity , dental caries and subnormal vision in children's health-care management .