摘要
目的调查天津地区18～60岁人群贫血流行病学特征及其影响因素,为贫血的早期发现、早期诊断、早期治疗提供参考依据。方法运用多阶层随机抽样方法,抽取天津地区驻军官兵、企事业单位员工、农村村民和来津打工者共156 721人进行问卷调查和血常规及血清铁蛋白、叶酸、维生素B12检测。结果天津地区18～60岁人群贫血总患病率为4.6%,其中军人组为2.0%、市民组为3.8%、农民组为7.2%、农民工组为16.8%,农民工组贫血患病率明显高于其他3组(P<0.01);各组男性、女性贫血患病率均随年龄增长呈增高趋势,50岁以上贫血患病率增加尤为明显(P<0.05)。农民工组血红蛋白、血清维生素B12水平均低于、而平均红细胞容积(MCV)、红细胞分布宽度(RDW)异常发生率则高于其他3组(P<0.05,P<0.01)。各组女性血清铁蛋白、叶酸水平均低于、而MCV异常发生率则高于男性(P<0.01)。结论天津地区不同人群、不同年龄、不同性别贫血患病率不同,农民工、50岁以上、女性为多发人群。
Objective To investigate the epidemiological characteristics of anemia and its influencing factors in 18 to 60-year-old population in Tianjin area.Methods Using multi-stratified random sampling method to investigate 156 721 subjects from 148 enterprises,98 rural areas,12 army units stationed in Tianjin area,and migrant workers from eight provinces.A questionnaire survey was conducted.Serum ferritin,folate,vitamin B12 and blood routine were examined.Results The total prevalence of anemia in 18~60 age population in Tianjin area was 4.6%.The prevalence of anemia in soldiers was 2.0%,in citizens 3.8%,in peasants 7.2%,and in migrant workers 16.8%（which was higher than the other 3 groups（P0.05））.The prevalence of anemia was increased as the age increased,beginning at aged 18,and significantly increased at aged 50（P0.05）.Moreover,the level of Hb,serum VB12 in migrant workers was lower;whereas the abnormal rate of RDW and MCV was higher than the other 3 groups（P0.05,P0.01）.And the level of serum ferritin,folic acid in female was lower;whereas the abnormal rate of MCV was higher than in male（P0.01）.Conclusion The prevalence of anemia in Tianjin area varies with different population,age,and sex.Migrant workers,female,and those aged over 50 have higher prevalence of anenmia.
出处
《解放军预防医学杂志》
CAS
2012年第6期406-408,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
