上海医药
上海醫藥
상해의약
Shanghai Medical & Pharmaceutical Journal
2015年
22期
60-62
,共3页
缺铁性贫血%高危因素%婴幼儿%防治
缺鐵性貧血%高危因素%嬰幼兒%防治
결철성빈혈%고위인소%영유인%방치
iron deifciency anemia%high risk factor%prevention and treatment%infant
目的：探讨社区儿童保健门诊婴幼儿营养性缺铁性贫血相关危险因素及预防措施，以降低婴幼儿贫血发生率。方法：选取2012年10月至2013年9月出生，在浦东新区潍坊社区卫生服务中心儿童保健门诊常规定期体检的婴幼儿作为研究对象，回顾性分析其临床资料，包括孕周、出生体重、喂养情况、血常规检查等，分析发生营养性缺铁性贫血的高危因素及防治措施。结果：在406例研究对象中，6月龄贫血69例，贫血率17.00%；12月龄贫血31例，占比7.64%；6月龄贫血患儿到12月龄时治愈率79.71%；6月龄，辅食添加及时组贫血率10.49%，不及时组28.33%，两组差异有统计学意义（P＜0.05）。Logistic回归分析显示孕周小、出生体重低、不及时添加辅食是婴幼儿营养性缺铁性贫血的高危因素。结论：应加强围生期保健，合理喂养，及时添加辅食；加强对有高危因素的婴幼儿进行儿童系统保健和健康教育，定期检查，早期发现贫血，早期治疗，提高儿童生存质量。
目的：探討社區兒童保健門診嬰幼兒營養性缺鐵性貧血相關危險因素及預防措施，以降低嬰幼兒貧血髮生率。方法：選取2012年10月至2013年9月齣生，在浦東新區濰坊社區衛生服務中心兒童保健門診常規定期體檢的嬰幼兒作為研究對象，迴顧性分析其臨床資料，包括孕週、齣生體重、餵養情況、血常規檢查等，分析髮生營養性缺鐵性貧血的高危因素及防治措施。結果：在406例研究對象中，6月齡貧血69例，貧血率17.00%；12月齡貧血31例，佔比7.64%；6月齡貧血患兒到12月齡時治愈率79.71%；6月齡，輔食添加及時組貧血率10.49%，不及時組28.33%，兩組差異有統計學意義（P＜0.05）。Logistic迴歸分析顯示孕週小、齣生體重低、不及時添加輔食是嬰幼兒營養性缺鐵性貧血的高危因素。結論：應加彊圍生期保健，閤理餵養，及時添加輔食；加彊對有高危因素的嬰幼兒進行兒童繫統保健和健康教育，定期檢查，早期髮現貧血，早期治療，提高兒童生存質量。
목적：탐토사구인동보건문진영유인영양성결철성빈혈상관위험인소급예방조시，이강저영유인빈혈발생솔。방법：선취2012년10월지2013년9월출생，재포동신구유방사구위생복무중심인동보건문진상규정기체검적영유인작위연구대상，회고성분석기림상자료，포괄잉주、출생체중、위양정황、혈상규검사등，분석발생영양성결철성빈혈적고위인소급방치조시。결과：재406례연구대상중，6월령빈혈69례，빈혈솔17.00%；12월령빈혈31례，점비7.64%；6월령빈혈환인도12월령시치유솔79.71%；6월령，보식첨가급시조빈혈솔10.49%，불급시조28.33%，량조차이유통계학의의（P＜0.05）。Logistic회귀분석현시잉주소、출생체중저、불급시첨가보식시영유인영양성결철성빈혈적고위인소。결론：응가강위생기보건，합리위양，급시첨가보식；가강대유고위인소적영유인진행인동계통보건화건강교육，정기검사，조기발현빈혈，조기치료，제고인동생존질량。
Objective:To investigate the risk factors and preventive measures of the nutritional iron deifciency anemia (IDA) in the infants and children in the community health care clinic in order to reduce their anemia incidence.Methods:The infants who were born from September 2012 to October 2013 and had the regular physical examination in Weifang Community Health Service Center of Pudong New District were selected and regarded as the research objects. The clinical data were retrospectively analyzed, which included the gestational age, birth weight, feeding, blood routine tests etc. The risk factors of the occurrence of the nutritional IDA and the preventive measures were analyzed. Results:In 406 objects, 69 six-month-old cases were diagnosed as anemia, and the anemia rate accounted for 17%, and 31 twelve-month-old ones as anemia and its rate 7.64%. The curative rate in the infants aged from 6 to 12 months was 79.71%. In the six-month-old infants, the anemia rates were 10.49%and 28.33% in the timely complementary feeding group and in the untimely complementary feeding group. There was a statistical difference between two groups (P<0.05). The logistic regression analysis result showed that the low gestational age, low birth weight, and untimely complementary feeding were the high risk factors of the nutritional IDA in the infants.Conclusion:The perinatal care, reasonable feeding, and timely complementary feeding should be strengthened and the infants with the high risk factors should be strengthened to carry out the children’s systematical health care and health education, regular health inspection, and early detection and treatment of anemia to improve their existing life quality.
